Mountain Medical Group Llc in Bend - Urgent Care
Mountain Medical Group Llc - NPI 1104962067
Mountain Medical Group Llc is a Urgent Care in Bend, Oregon. Mountain Medical Group Llc practices all healthcare services and medical treatments related to Urgent Care. The NPI Number for Mountain Medical Group Llc is 1104962067. The last update date is 2007-12-04.
Mountain Medical Group Llc's current location address is 1302 Ne 3rd St, Bend, Oregon. You can contact this provider via phone number 5413887799 and fax number 5413894096. The mailing address for Mountain Medical Group Llc is 1302 Ne 3rd St, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Medical Group Llc |
|---|---|
| Address | 1302 Ne 3rd St, Bend, Oregon |
| Phone Number | 5413887799 |
| Fax Number | 5413894096 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Stone James Albert |
| Credentials | MD |
| Telephone Number | 5413170909 |
NPI Number Detail
| NPI Number | 1104962067 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-12-04 |
Provider Mailing Address Detail
| Address | 1302 Ne 3rd St |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977014333 |
| Phone Number | 5413887799 |
| Fax Number | 5413894096 |
Provider's Primary Taxonomy Detail
| Speciality | Urgent Care |
|---|---|
| Taxonomy | 261Qu0200X |
|
Definition: Treats injuries, sudden illnesses, and other urgent health conditions without an appointment, often with extended hours. |
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What is the unique 10-digit identifier code issued to Mountain Medical Group Llc by the Centers for Medicare & Medicaid Services?
The Mountain Medical Group Llc has been assigned the NPI (National Provider Identifier) 1104962067 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mountain Medical Group Llc is located?
The Mountain Medical Group Llc is situated at the following address: 1302 Ne 3Rd St, Bend, OR, 977014333.
What is Mountain Medical Group Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mountain Medical Group Llc is Urgent Care, and the corresponding taxonomy classification code for this specialized field is 261Qu0200X.
On what date did the Mountain Medical Group Llc receive the assignment of its 1104962067 from the Centers for Medicare & Medicaid Services?
The Mountain Medical Group Llc was issued its 1104962067 by the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date were the details related to Mountain Medical Group Llc most recently updated or revised?
The information pertaining to Mountain Medical Group Llc, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-04.
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