Organization Name: | MOUNTAIN COMMUNITIES HEALTHCARE DIST |
NPI Number: | 1356422307 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AARON ROGERS (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 31 Easter Avenue Weaverville |
State: | CA US |
Postal Code: | 960931229 |
Phone Number: | 5306234186 |
Fax Number: | 5306234397 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 02/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 230000038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |