Mountain Vista Medical Center

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

AP3524 Issued in AZ

Legal business name

MOUNTAIN VISTA MEDICAL CENTER

Practice address

1301 S Crismon Rd
Mesa, AZ 85209-3767

Phone

(480) 358-6100

NPI assigned

Feb 2, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Richard Earl Wade, FNP

Title

Family Nurse Practitioner

Phone

(480) 283-7534

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1568794535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S CRISMON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093767",
            "telephone_number": "480-358-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CRISMON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093767",
            "telephone_number": "480-358-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VISTA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "480-283-7534",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "AZ",
            "license": "AP3524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain View Family Dental PLLC
• Mountain View Foot & Ankle LLC
• Mountain View Surgical Associates PC
• Mountain Vista Emergency Physicians, LLC
• Mountain Vista Manor Corp
• Mountain Vista Medical Center LP
• Mountain Vista Medical Center LP
• Mountain Vista Medical Center, LP
• Mountain Vista Medical Group PLLC
• Mountain West Rehabilitation Medicine PLLC

• Rural Acute Care Hospital in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Rural Acute Care Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.