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MOUNTAIN MEDICAL CENTER OF BUENA VISTA PC NPI 1386728640


NPI Information

NPI: 1386728640
Provider Name: MOUNTAIN MEDICAL CENTER OF BUENA VISTA, PC

Doing Business As: MOUNTAIN MEDICAL CENTER OF BUENA VISTA, PC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
36 OAK STREET
BUENA VISTA, CO
ZIP 81211
Phone: (719) 395-8632
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MOUNTAIN MEDICAL CENTER OF BUENA VISTA, PC is a family medicine in Buena Vista, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MOUNTAIN MEDICAL CENTER OF BUENA VISTA, PC NPI is 1386728640. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mountain Medical Center Of Buena Vista, Pc.

The provider's business location address is:

36 OAK STREET
BUENA VISTA, CO
ZIP 81211
Phone: (719) 395-8632
Fax: (719) 395-4971

The provider's authorized official is Thomas E White .
The authorized official title is President and has the following contact phone number (719) 395-8632.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 5/14/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D4208MEDICARE UPIN
205638739MEDICAIDCOLORADO
3063846MEDICARE PIN
404010187MEDICAIDCOLORADO
5DF7744OTHERRAILROAD MEDICARE

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: 4/28/2024

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