# GOLDFIELD MOUNTAIN HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alta Mesa Health and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326505041
- **Authorized official:** SOON BURNAM (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (949) 487-9500

## Contact information

- **Practice address:** 5848 E UNIVERSITY DR, MESA, AZ 85205-7443
- **Practice address phone:** (408) 981-0098
- **Practice address fax:** (480) 396-3023
- **Mailing address:** 5848 E UNIVERSITY DR, MESA, AZ 85205-7443
- **Mailing address phone:** (408) 981-0098
- **Mailing address fax:** (480) 396-3023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/28/2019
- **Last updated:** 07/20/2022