Provider Demographics
NPI:1407862725
Name:MOUNTAIN VIEW OXYGEN AND MEDICAL, LLC
Entity Type:Organization
Organization Name:MOUNTAIN VIEW OXYGEN AND MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-697-8077
Mailing Address - Street 1:1890 BONANZA DRIVE
Mailing Address - Street 2:SUITE 111
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84060
Mailing Address - Country:US
Mailing Address - Phone:972-697-8077
Mailing Address - Fax:435-615-1074
Practice Address - Street 1:1890 BONANZA DR.
Practice Address - Street 2:SUITE 111
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84060
Practice Address - Country:US
Practice Address - Phone:972-697-8077
Practice Address - Fax:435-615-1074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies