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YOUR FAMILY PRACTICE TEAM PC NPI 1396715611


NPI Information

NPI: 1396715611
Provider Name: YOUR FAMILY PRACTICE TEAM PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D1018615

Address:
2051 EVERGREEN LN STE D
SHOW LOW, AZ
ZIP 85901
Phone: (928) 537-2200
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YOUR FAMILY PRACTICE TEAM PC is a family medicine in Show Low, 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. YOUR FAMILY PRACTICE TEAM PC NPI is 1396715611. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2051 EVERGREEN LN STE D
SHOW LOW, AZ
ZIP 85901-928
Phone: (928) 537-2200
Fax: (928) 537-2204

The provider's authorized official is Becky Thompson .
The authorized official title is Owner and has the following contact phone number (928) 537-2200.

The CLIA number assigned to this NPI record is 03D1018615 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2006 and was last updated on 12/16/2013.


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 MedicineYes

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: 11/14/2023

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.