NPIMap

Organization Active NPI

Mountain Medical Systems

  • Durable Medical Equipment & Medical Supplies
  • Bountiful, UT
National Provider Identifier
1225496334
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MOUNTAIN MEDICAL SYSTEMS
Practice address
563 W 500 S Ste 245
Bountiful, UT 84010-8290
Phone
(801) 663-6015
Fax
(435) 602-1105
NPI assigned
Feb 3, 2016
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey AndersonNPI 1902263700
Title
Owner
Phone
(801) 663-6015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

563 W 500 S Ste 245
Bountiful, UT 84010-8290

Mailing address

PO Box 1687
Bountiful, UT 84011-1687
Phone (801) 663-6015

Other identifiers 1

IdentifierTypeStateIssuer
122566261714OtherUTUTAH DEPARTMENT OF COMMERCE DIVISION OF OCCUPATIONAL AND PERSONAL LICENSING

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1225496334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1687",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840111687",
            "telephone_number": "801-663-6015",
            "fax_number": "435-602-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 W 500 S STE 245",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108290",
            "telephone_number": "801-663-6015",
            "fax_number": "435-602-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MEDICAL SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-663-6015"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH DEPARTMENT OF COMMERCE DIVISION OF OCCUPATIONAL AND PERSONAL LICENSING",
            "identifier": "122566261714",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.