Provider Demographics
NPI:1205904711
Name:MOUNTAIN REGIONAL ARTHRITIS CENTER, PA
Entity type:Organization
Organization Name:MOUNTAIN REGIONAL ARTHRITIS CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:MENDELSOHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:828-277-5030
Mailing Address - Street 1:400 LYNN COVE RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-1917
Mailing Address - Country:US
Mailing Address - Phone:828-775-4549
Mailing Address - Fax:828-258-7035
Practice Address - Street 1:2 MEDICAL PARK DR
Practice Address - Street 2:SUITE 700
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:828-277-5030
Practice Address - Fax:828-258-7035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23612174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty