MADIX MEDICAL CENTER PLLC NPI 1134533425

NPI Information

NPI: 1134533425
Provider Name: MADIX MEDICAL CENTER, PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1608 N STOCKTON HILL RD STE 101
KINGMAN, AZ
ZIP 86401
Phone: (928) 377-1984
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MADIX MEDICAL CENTER, PLLC is a general practice in Kingman, AZ. MADIX MEDICAL CENTER, PLLC NPI is 1134533425. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1608 N STOCKTON HILL RD STE 101
KINGMAN, AZ
ZIP 86401-142
Phone: (928) 377-1984
Fax: (928) 377-1983

The provider's authorized official is Jacey L Mitchell .
The authorized official title is Owner/nurse Practitioner and has the following contact phone number (928) 377-1984.

The enumeration date for this NPI number is 6/16/2014 and was last updated on 8/16/2014.

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	208D00000X	General Practice				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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