Healthcare Provider Details

I. General information

NPI: 1033701560
Provider Name (Legal Business Name): MOUNTAIN HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2021
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 UNION ST STE 401
NATICK MA
01760-7700
US

IV. Provider business mailing address

67 UNION ST STE 401
NATICK MA
01760-7700
US

V. Phone/Fax

Practice location:
  • Phone: 617-206-2090
  • Fax: 855-829-6228
Mailing address:
  • Phone: 617-206-2090
  • Fax: 855-829-6228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: SARAH SHI
Title or Position: MANAGER
Credential:
Phone: 617-206-2090