Mountain Home Medical

LBN: Mountain Home Medical
Mountain Home Medical is an health care organization with primary practice located at 226 Illini Dr , Woodland Park CO 80863-8747. The organization recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as the primary health care specialty. Mountain Home Medical can be contacted via phone (719) 686-7504, or through Nicholson, Dan via phone (719) 331-9861.

Contact Information

Primary practice address
226 Illini Dr Woodland Park CO 80863-8747
Phone: (719) 686-7504
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nicholson, Dan
Phone: (719) 331-9861

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X

Profile Details

NPI number 1598816753
LBN Legal business name Mountain Home Medical
DBA Doing business as
Authorized official Nicholson, Dan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598816753 NPPES
Colorado MEDICAID 02800586

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