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Organization
MOUNTAIN VISTA MEDICAL CENTER LP
Active
Organization
MOUNTAIN VISTA MEDICAL CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB GOLICH (HOSPITAL CEO)
(480) 358-6100
Entity
Organization
Contact information
Practice address
1301 S CRISMON RD, MESA, AZ 85209-3767
(480) 358-6100
(480) 358-6168
Mailing address
1301 S CRISMON RD, ATTN: BILLING, MESA, AZ 85209-3767
(480) 358-6100
(480) 358-6168
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
10/20/2006
Last updated
04/04/2018
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