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Contact Information

EXTENDED CARE PHYSICIANS - MOUNTAIN, PA
90 SOUTHSIDE AVE
SUITE 300
ASHEVILLE, NC28801-4160
 Phone: 828-277-4810
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for EXTENDED CARE PHYSICIANS MOUNTAIN PA · (Female)

NPI Number 1104823087
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2005
Last updated 04/16/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 200201376
  • NC License # 86999
  • NC Medicaid 89011JK
  • NC Other 011JK BCBSNC
  • NC Other 56162 MEDCOST
  • NC Other CG9205 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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