Organization
MOUNTAIN CARE DME LLC
Active
Other names
Mountain Care DME
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA GONZALES (COO)
(801) 506-5010
Entity
Organization
Contact information
Practice address
4426 CENTURY DR, SUITE G, MURRAY, UT 84123-2580
(801) 506-5010
(801) 747-3088
Mailing address
4426 CENTURY DR, SUITE G, MURRAY, UT 84123-2580
(801) 506-5010
(801) 747-3088
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
UT
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
7529823-1714
UT
Other
Enumeration date
11/22/2010
Last updated
09/23/2011
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