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YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC NPI 1043449887


NPI Information

NPI: 1043449887
Provider Name: YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC

Doing Business As: YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
7700 E FLORENTINE RD BLDG B
SUITE A101
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 442-8710
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YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC is a family medicine in Prescott Valley, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC NPI is 1043449887. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Yavapai Regional Medical Center Physician Care.

The provider's business location address is:

7700 E FLORENTINE RD BLDG B
SUITE A101
PRESCOTT VALLEY, AZ
ZIP 86314-245
Phone: (928) 442-8710
Fax: (928) 442-8742

The provider's authorized official is Lee Livin .
The authorized official title is Cfo and has the following contact phone number (928) 771-5691.

The enumeration date for this NPI number is 7/14/2009 and was last updated on 4/5/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine34238ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z126775OTHERARIZONAMEDICARE PTAN
2459138MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.