Provider Demographics
NPI:1487849014
Name:MOUNTAIN MEDICAL BILLING, INC
Entity type:Organization
Organization Name:MOUNTAIN MEDICAL BILLING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CRIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-779-1162
Mailing Address - Street 1:PO BOX 1150
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86002-1150
Mailing Address - Country:US
Mailing Address - Phone:928-779-1162
Mailing Address - Fax:928-779-1163
Practice Address - Street 1:114 N SAN FRANCISCO ST STE 1
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-5235
Practice Address - Country:US
Practice Address - Phone:928-779-1162
Practice Address - Fax:928-779-1163
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOUNTAIN MEDICAL BILLING, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty