# MOUNTAIN MEDICAL ENTERPRISES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093897290
- **Authorized official:** AMIR AHMAD MD (PRESIDENT)
- **Authorized official phone:** (800) 962-3303

## Contact information

- **Practice address:** 81 BALL PARK RD, HARLAN, KY 40831-1701
- **Practice address phone:** (606) 573-8201
- **Mailing address:** PO BOX 96288, OKLAHOMA CITY, OK 73143-6288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 06/25/2014