| Organization Name: | MOUNTAIN FAMILY HEALTH CENTERS |
| NPI Number: | 1235292293 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROSS A BROOKS (CEO) |
| Mailing Address: | 562 Gregory Street Black Hawk |
| State: | CO US |
| Postal Code: | 80422 |
| Phone Number: | 3035825276 |
| Fax Number: | 3035821003 |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 11/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | 0040 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |