# MOUNTAIN VISTA MEDICAL CENTER, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FLORENCE HOSPITAL, A CAMPUS OF MOUNTAIN VISTA MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609345685
- **Authorized official:** JACOB GOLICH (HOSPITAL PRESIDENT)
- **Authorized official phone:** (480) 358-6100

## Contact information

- **Practice address:** 4545 N HUNT HWY, FLORENCE, AZ 85132-6937
- **Practice address phone:** (520) 868-3333
- **Mailing address:** 1301 S CRISMON RD, MESA, AZ 85209-3767
- **Mailing address phone:** (480) 358-6100
- **Mailing address fax:** (480) 358-6168

## Taxonomy

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

## Other

- **Enumeration date:** 11/19/2018
- **Last updated:** 08/29/2019