MOUNTAIN MEDICS INC (NPI# 1720477052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720477052 |
Entity Type | Organization |
Organization Name | MOUNTAIN MEDICS INC |
Practice Address |
234 Gateway Park Drive Mount Shasta CA 96067 |
Mailing Address |
Po Box 239 Mount Shasta CA 96067-0239 |
Practice Telephone | 5306055046 |
Mailing Telephone | 5309188260 |
Enumeration Date | 2015-01-09 |
Last Update Date | 2019-06-28 |
Authorized Official Name | DR. AARON MICHAEL STUTZ (CHIEF MEDICAL OFFICER) |
Authorized Official Telephone | 5306055046 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1174851901 | AZ | Transportation Services |
Address | Telephone Number | Fax Number |
---|---|---|
234 Gateway Park Drive, Mount Shasta, CA 96067 | 5306055046 | |
5727 Dunsmuir Ave, Dunsmuir, CA 960252008 | 5306055046 | |
5727 Dunsmuir Ave, Dunsmuir, CA 960252008 | 5418051977 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MOUNTAIN MEDICS INC. | 234 Gateway Park Dr., Mount Shasta, CA 96067 |
Oregon Corporations, Companies and Business Names | MOUNTAIN MEDICS INC. | 234 Gateway Park Dr, Suite C, Mount Shasta, CA 96067 |
Street Address |
234 GATEWAY PARK DRIVE |
City | MOUNT SHASTA |
State | CA |
Zip Code | 96067 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538786322 | Lynn Louise Lloyd | Acupuncturist | 522 E. Alma St, Mount Shasta, CA 96067 | 2020-06-29 |
1356971626 | Insight Wellness Institute | Clinic/Center | 1005 Ream Ave, Mount Shasta, CA 96067 | 2020-01-24 |
1093120172 | Diana L Muncy | Counselor | 301 N Mount Shasta Blvd Ste 2, Mount Shasta, CA 96067 | 2014-06-26 |
1174851901 | Aaron Michael Stutz | Emergency Medicine | 234 Gateway Park Dr., Mount Shasta, CA 96067 | 2009-12-07 |
1487875415 | Blanchard Leroy Foster Jr. | Marriage & Family Therapist | 110 W. Castle Street, Suite 100, Mount Shasta, CA 96067 | 2007-05-01 |
1699815639 | Sally Mcfall | Marriage & Family Therapist | 1180-b Mount Shasta Blvd, Mt Shasta, CA 96067 | 2007-02-07 |
1174672174 | Anna Klimaszewski | Marriage & Family Therapist | 425 Oakway Rd, Mt Shasta, CA 96067 | 2007-01-09 |
1548355969 | John Cunningham | Marriage & Family Therapist | 705 Pine St., Mt Shasta, CA 96067 | 2006-10-03 |
1245330844 | Jacqueline Wilkinson Gilbert-parker | Physician Assistant | 822 Pine Street, Mount Shasta, CA 96067 | 2006-09-24 |
1841307501 | John Warren Mcgaughey | Dentist | 326 N Mt Shasta Blvd, #4, Mt Shasta, CA 96067 | 2006-08-25 |
Find all providers in zip 96067 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Find all providers with the same taxonomy |
City | MOUNT SHASTA |
Zip Code | 96067 |
Please comment or provide details below to improve the information on MOUNTAIN MEDICS INC.
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.