# DESERT MOUNTAIN MEDICAL CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1225694961
- **Authorized official:** CORI KOVAC (MANAGAER)
- **Authorized official phone:** (480) 462-7070

## Contact information

- **Practice address:** 15215 S 48TH ST STE 156, PHOENIX, AZ 85044-9139
- **Practice address phone:** (480) 704-8818
- **Mailing address:** 15215 S 48TH ST STE 156, PHOENIX, AZ 85044-9139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | Yes |
| 111NR0400X | Rehabilitation Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2019
- **Last updated:** 04/09/2021