Mountain View Clinic I Llc in Mena - Adolescent Medicine
Mountain View Clinic I Llc - NPI 1851366777
Mountain View Clinic I Llc is a Adolescent Medicine in Mena, Arkansas. Mountain View Clinic I Llc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Mountain View Clinic I Llc is 1851366777. The last update date is 2020-10-06.
Mountain View Clinic I Llc's current location address is 1102 Crestwood Cir, Mena, Arkansas. You can contact this provider via phone number 4793947301 and fax number 4793947160. The mailing address for Mountain View Clinic I Llc is 1102 Crestwood Cir, Mena, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain View Clinic I Llc |
|---|---|
| Address | 1102 Crestwood Cir, Mena, Arkansas |
| Phone Number | 4793947301 |
| Fax Number | 4793947160 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lochala Mark Richard |
| Credentials | M.D. |
| Telephone Number | 4793947301 |
NPI Number Detail
| NPI Number | 1851366777 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2020-10-06 |
Provider Mailing Address Detail
| Address | 1102 Crestwood Cir |
|---|---|
| City | Mena |
| State | Arkansas (AR) |
| Post Code | 719535513 |
| Phone Number | 4793947301 |
| Fax Number | 4793947160 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5B765 | AR | BCBS CLINIC # | |
| 135991002 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mountain View Clinic I Llc by the Centers for Medicare & Medicaid Services?
The Mountain View Clinic I Llc has been issued the NPI (National Provider Identifier) 1851366777 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mountain View Clinic I Llc?
The Mountain View Clinic I Llc is situated at 1102 Crestwood Cir, in the city of Mena, state of AR, with the zip code 719535513.
What is the Mountain View Clinic I Llc's area of specialization and corresponding taxonomy classification?
The Mountain View Clinic I Llc's specialty field is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their specialties.
On what date did the Mountain View Clinic I Llc receive the assignment of its 1851366777 from the Centers for Medicare & Medicaid Services?
The Mountain View Clinic I Llc was issued its 1851366777 by the Centers for Medicare & Medicaid Services on 2006-02-22.
As of what date was the information regarding Mountain View Clinic I Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mountain View Clinic I Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-06.