Organization Name: | MOUNTAIN MEDICAL ENTERPRISES |
NPI Number: | 1316138605 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN A HOLLIFIELD (BILLING SUPERVISOR) |
Mailing Address: | 125 Hospital Dr Spruce Pine |
State: | NC US |
Postal Code: | 287773035 |
Phone Number: | 8287661701 |
Fax Number: | 8287650824 |
NPI Enumeration Date: | 08/05/2007 |
NPI Last Update Date: | 08/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0207X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mobile Mammography |
Taxonomy Definition: |