Organization
MOUNTAIN VISTA MEDICAL CENTER LP
Active
Parent organization
MOUNTAIN VISTA MEDICAL CENTER LP
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN VISTA MEDICAL CENTER LP
Authorized official
JACOB GOLICH (HOSPITAL CEO)
(480) 358-6100
Entity
Organization
Contact information
Practice address
1301 S CRISMON RD, MESA, AZ 85209-3767
(480) 358-6100
(480) 358-6168
Mailing address
1301 S CRISMON RD, ATTN: BILLING, MESA, AZ 85209-3767
(480) 358-6100
(480) 358-6168
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
04/06/2012
Last updated
04/03/2018
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