Healthcare Provider Details

I. General information

NPI: 1841172350
Provider Name (Legal Business Name): MOUNTAIN VIEW DIRECT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

568 MAIN ST
FRYEBURG ME
04037-1288
US

IV. Provider business mailing address

360 CHRISTIAN HILL RD
LOVELL ME
04051-4012
US

V. Phone/Fax

Practice location:
  • Phone: 314-922-6465
  • Fax:
Mailing address:
  • Phone: 314-922-6465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER W MURPHY
Title or Position: FOUNDER/OWNER
Credential: MD
Phone: 314-922-6465