MOUNTAIN HEART MEDICAL PRACTICE PLLC NPI 1306009519

NPI Information

NPI: 1306009519
Provider Name: MOUNTAIN HEART MEDICAL PRACTICE PLLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2000 S THOMPSON ST
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 226-6400
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MOUNTAIN HEART MEDICAL PRACTICE PLLC is a cardiovascular disease internal medicine in Flagstaff, AZ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MOUNTAIN HEART MEDICAL PRACTICE PLLC NPI is 1306009519. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2000 S THOMPSON ST
FLAGSTAFF, AZ
ZIP 86001-759
Phone: (928) 226-6400
Fax: (928) 226-6411

The provider's authorized official is Suzanne R Duval .
The authorized official title is Credentialing and has the following contact phone number 90282266400.

The enumeration date for this NPI number is 7/8/2008 and was last updated on 4/7/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	30420	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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