MOUNTAIN VISTA MEDICAL CENTER LP (NPI# 1235212721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235212721 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN VISTA MEDICAL CENTER LP |
| Practice Address |
1301 S Crismon Rd Mesa AZ 85209-3767 |
| Mailing Address |
1301 S Crismon Rd Attn: Billing Mesa AZ 85209-3767 |
| Practice Telephone | 4803586100 |
| Practice Fax Number | 4803586168 |
| Mailing Telephone | 4803586100 |
| Mailing Fax Number | 4803586168 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | JACOB GOLICH (HOSPITAL CEO) |
| Authorized Official Telephone | 4803586100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 241961 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902162639 | Mountain Vista Medical Center Lp | Psychiatric Unit | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2012-04-06 |
| Street Address |
1301 S CRISMON RD |
| City | MESA |
| State | AZ |
| Zip Code | 85209-3767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366422131 | Guangming Guo | Pathology | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2006-01-18 |
| 1336759679 | Tyler William Horge | Nurse Anesthetist, Certified Registered | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-08-02 |
| 1942825880 | Bryce Bunn | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-06-16 |
| 1962027326 | Randal Jordan Shumway | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-06-11 |
| 1790300143 | Spencer Larson | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-06-11 |
| 1548885825 | Jennifer Kaur Sudwal | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-06-11 |
| 1760007116 | Victor Liao | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-06-11 |
| 1255956819 | Ray Moussa | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-06-10 |
| 1972127033 | Katherine Chen Rollins | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-06-04 |
| 1699398016 | Joshua Benjamin Ang | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1134552367 | Anelime Emergency Medical Services | General Acute Care Hospital | 9341 E Mckellips Rd, Mesa, AZ 85207-2632 | 2013-08-12 |
| 1669639639 | Apache Junction Hospital, LLC | General Acute Care Hospital | 515 N Mesa Drive, Mesa, AZ 85201-5914 | 2008-05-19 |
| 1396745832 | Arizona Spine and Joint Hospital LLC | General Acute Care Hospital | 4620 E. Baseline Road, Mesa, AZ 85206 | 2005-07-27 |
| 1023499126 | Allied Internal Medicine Pllc | General Acute Care Hospital | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2015-06-15 |
| 1306265145 | Maricopa County Special Health Care District | General Acute Care Hospital | 59 S Hibbert, Mesa, AZ 85210-1414 | 2014-04-09 |
| 1538588389 | Maricopa County Special Heallth Care District | General Acute Care Hospital | 4330 E University Dr, Suite B, Mesa, AZ 85205-7004 | 2014-04-09 |
| 1093149692 | Kevin Warren | General Acute Care Hospital | 1520 S Dobson Rd, Suite 203, Mesa, AZ 85202-4725 | 2013-08-30 |
| 1891729828 | Banner Mesa Medical Center | General Acute Care Hospital | 1010 N Country Club Dr, Mesa, AZ 85201-3309 | 2006-07-10 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.