# MOUNTAIN VISTA MEDICAL CENTER, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain Vista Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467109488
- **Authorized official:** KATHY ATKINSON (PROVIDER ENROLLMENT)
- **Authorized official phone:** (770) 331-7514

## Contact information

- **Practice address:** 5750 E BASELINE RD, MESA, AZ 85206-4806
- **Practice address phone:** (520) 868-3333
- **Practice address fax:** (520) 509-2852
- **Mailing address:** 5750 E BASELINE RD, MESA, AZ 85206-4806
- **Mailing address phone:** (520) 868-3333
- **Mailing address fax:** (520) 509-2852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2022
- **Last updated:** 03/09/2022