# MOUNTAIN MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1689642571
- **Authorized official:** DR. JOEL THOMAS GATES MD (OWNER)
- **Authorized official phone:** (970) 626-5123

## Contact information

- **Practice address:** 295 SHERMAN ST, RIDGWAY, CO 81432-0298
- **Practice address phone:** (970) 626-5123
- **Practice address fax:** (970) 626-9783
- **Mailing address:** PO BOX 298, RIDGWAY, CO 81432-0298
- **Mailing address phone:** (970) 626-5123
- **Mailing address fax:** (970) 626-9783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35376 | CO | Yes |

## Other

- **Enumeration date:** 03/08/2006
- **Last updated:** 01/26/2010