| Western Mountain Medical Center, Pc | |
|
3015 Highway 95 Suite 107 B Bullhead City AZ 86442-4334 | |
| (928) 763-0433 | |
| (928) 763-0839 |
| Full Name | Western Mountain Medical Center, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3015 Highway 95, Bullhead City, Arizona |
| Authorized Official Name and Position | Nabila Aslam (OWNER) |
| Authorized Official Contact | 9287630433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Mountain Medical Center, Pc 3015 Highway 95 Suite 107 B Bullhead City AZ 86442-4334 Ph: (928) 763-0433 | Western Mountain Medical Center, Pc 3015 Highway 95 Suite 107 B Bullhead City AZ 86442-4334 Ph: (928) 763-0433 |
| NPI Number | 1538113808 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 12/23/2019 |
| Medicare PECOS PAC ID | 3971507641 |
|---|---|
| Medicare Enrollment ID | O20060912000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538113808 | NPI | - | NPPES |
| 746208 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nabila Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922089127 PECOS PAC ID: 8921991027 Enrollment ID: I20040203000926 |
| Provider Name | Meena Sherpa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174929780 PECOS PAC ID: 8527378116 Enrollment ID: I20151111001363 |
| Provider Name | Amina Loucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407248461 PECOS PAC ID: 9739483512 Enrollment ID: I20160502001712 |
| Provider Name | Michael Majetic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629577119 PECOS PAC ID: 3678834538 Enrollment ID: I20180309002166 |
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