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Contact Information

MOUNTAIN COMMUNITIES HEALTHCARE DIS
121 BARBARA AVENUE
WEAVERVILLE, CA96093
 Phone: 530-623-5541
 Fax: 530-623-6421
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for MOUNTAIN COMMUNITIES HEALTHCARE DIS

NPI # 1467533000
LBN Legal business name MOUNTAIN COMMUNITIES HEALTHCARE DIS
Authorized official ALETHEA HIGGINS - (DIRECTOR REVENUE CYCLE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2006
Last updated 05/08/2013 - About 13 years ago
Identifiers
CA License # 230000038
CA Medicaid RHC08618F
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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