Mountain Medicine Pc

LBN: Mountain Medicine Pc
Mountain Medicine Pc is an health care organization with primary practice located at 1450 East St Ste 6N , Pittsfield MA 01201-5319. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mountain Medicine Pc can be contacted via phone (413) 442-4700, or through Dagostino, Christine M via phone (413) 442-4700.

Contact Information

Primary practice address
1450 East St Ste 6N Pittsfield MA 01201-5319
Phone: (413) 442-4700
Fax: (413) 442-4711
Website:
Map and Directions
Authorized official contact:
Name: Dagostino, Christine M
Phone: (413) 442-4700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1679531354
LBN Legal business name Mountain Medicine Pc
DBA Doing business as
Authorized official Dagostino, Christine M
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Oct 10th, 2007 - about 17 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 1679531354 NPPES
Massachusetts MEDICAID 3183386
Massachusetts Other 8906530002
Massachusetts Other MD0341139AR
Massachusetts Other 156843
Massachusetts Other 32023
Massachusetts Other J19130
Massachusetts Other 3183386
Massachusetts Other 111654
Massachusetts Other 11S654
Massachusetts Other 16095
Massachusetts Other 3516813
Massachusetts Other 000000020879
Massachusetts Other 000000028890
Massachusetts Other 1006517
Massachusetts Other 156843
Massachusetts Other 3183386

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