Provider Demographics
NPI:1881951101
Name:MOUNTAIN VIEW FAMILY CARE, PLLC
Entity type:Organization
Organization Name:MOUNTAIN VIEW FAMILY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ENRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:520-234-7378
Mailing Address - Street 1:649 SUFFOLK DR
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-4765
Mailing Address - Country:US
Mailing Address - Phone:520-234-7378
Mailing Address - Fax:520-458-5788
Practice Address - Street 1:649 SUFFOLK DR
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-4765
Practice Address - Country:US
Practice Address - Phone:520-234-7378
Practice Address - Fax:520-458-5788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center