# MOUNTAIN MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1104962067
- **Authorized official:** ALBERT JAMES STONE MD (OWNER)
- **Authorized official phone:** (541) 317-0909

## Contact information

- **Practice address:** 1302 NE 3RD ST, BEND, OR 97701-4333
- **Practice address phone:** (541) 388-7799
- **Practice address fax:** (541) 389-4096
- **Mailing address:** 1302 NE 3RD ST, BEND, OR 97701-4333
- **Mailing address phone:** (541) 388-7799
- **Mailing address fax:** (541) 389-4096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 12/04/2007