NPI 1902162639
Mountain Vista Medical Center LP
Practice location
- Address
- 1301 S Crismon Rd, Mesa, AZ 85209-3767
- Phone
- (480) 358-6100
- Fax
- (480) 358-6168
- Mailing address
- 1301 S Crismon Rd Attn: Billing, Mesa, AZ 85209-3767
Authorised official
- Name
- Jacob Golich
- Title
- Hospital Ceo
- Phone
- (480) 358-6100
Registered specialties
Psychiatric Hospital Unit
Primary
Registry record
- NPI
- 1902162639
- Entity type
- Organization
- NPI issued
- 6 Apr 2012
- Record last updated
- 3 Apr 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.