Provider Demographics
NPI:1699813170
Name:ELK MOUNTAIN INC.
Entity Type:Organization
Organization Name:ELK MOUNTAIN INC.
Other - Org Name:COMFORT MOBILE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:ERVIN
Authorized Official - Suffix:
Authorized Official - Credentials:CNMT,NCT,PET
Authorized Official - Phone:530-305-8324
Mailing Address - Street 1:PO BOX 993974
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96099-3974
Mailing Address - Country:US
Mailing Address - Phone:530-305-8324
Mailing Address - Fax:
Practice Address - Street 1:1755 COURT ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1721
Practice Address - Country:US
Practice Address - Phone:530-305-8324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARHT 660282471C3401X
CARHN 17562471N0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2471C3401XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistComputed TomographyGroup - Single Specialty
Not Answered2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine TechnologyGroup - Single Specialty