National Provider Identifier Database

MOUNTAIN COMMUNITIES HEALTHCARE DIS
Dental


Contact Information

MOUNTAIN COMMUNITIES HEALTHCARE DIS
121 BARBARA AVENUE
WEAVERVILLE, CA96093
Phone: 530-623-5541
Fax: 530-623-6421
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for MOUNTAIN COMMUNITIES HEALTHCARE DIS

NPI Number 1467533000
Legal business name
LBN
MOUNTAIN COMMUNITIES HEALTHCARE DIS
Authorized official ALETHEA HIGGINS - (DIRECTOR REVENUE CYCLE)
Entity Organization
Organization subpart No
Enumeration date 10/18/2006
Last updated 05/08/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 230000038
  • CA Medicaid: RHC08618F

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.

Reviews for MOUNTAIN COMMUNITIES HEALTHCARE DIS

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