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NPI Code Detail

MEDICARE: MOUNTAIN VALLEY REGIONAL REHABILITATION HOSPITAL INC

MEDICARE: MOUNTAIN VALLEY REGIONAL REHABILITATION HOSPITAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283X00000XRehabilitation Hospital3974AZ

General Provider Information

NPI Number : 1245273853
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNTAIN VALLEY REGIONAL REHABILITATION HOSPITAL INC
Provider Business Mailing Address
First Line : 1024 N GALLOWAY AVE STE 102
Second Line :
City : MESQUITE
State : TX
Zip : 75149-2434
Country : US
Telephone Number : 972-216-2299
Fax Number :
Provider Business Practice Location Address
First Line : 3700 N WINDSONG DR
Second Line :
City : PRESCOTT VALLEY
State : AZ
Zip : 86314-1253
Country : US
Telephone Number : 505-798-6485
Fax Number : 505-856-2271
Authorized Official
Title or Position : VICE PRESIDENT AND SECRETARY
Name : DENISE KANN
Credential :
Telephone Number : 972-216-2299
Provider Enumeration Date : 06/13/2006
Last Update Date : 11/07/2025

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Directions to “MOUNTAIN VALLEY REGIONAL REHABILITATION HOSPITAL INC ” Practice Location

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