ARIZONA GRAND MEDICAL CENTER PLLC NPI 1003111378

NPI Information

NPI: 1003111378
Provider Name: ARIZONA GRAND MEDICAL CENTER PLLC

Doing Business As: AGMC - CROSSINGS

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3777 CROSSINGS DR
PRESCOTT, AZ
ZIP 86305
Phone: (928) 771-9693
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ARIZONA GRAND MEDICAL CENTER PLLC is a multi-specialty clinic center in Prescott, AZ. ARIZONA GRAND MEDICAL CENTER PLLC NPI is 1003111378. The provider is registered as an organization entity type.
The provider Is Doing Business As Agmc - Crossings.

The provider's business location address is:

3777 CROSSINGS DR
PRESCOTT, AZ
ZIP 86305-121
Phone: (928) 771-9693
Fax: (928) 708-0505

The provider's authorized official is Satty K Bhowra .
The authorized official title is Administrator and has the following contact phone number (602) 550-4065.

The enumeration date for this NPI number is 1/18/2011 and was last updated on 1/6/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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

NPI Synchronization or Removal

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