MINGUS MOUNTAIN PRIMARY CARE PLLC NPI 1245991785

NPI Information

  • NPI: 1245991785
  • Provider Name: MINGUS MOUNTAIN PRIMARY CARE PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 03D2257956
  • Address: 450 S WILLARD ST STE 107
    COTTONWOOD, AZ
    ZIP 86326
  • Phone: (928) 848-6161

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NPI Details

MINGUS MOUNTAIN PRIMARY CARE PLLC is a family medicine in Cottonwood, 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. MINGUS MOUNTAIN PRIMARY CARE PLLC NPI is 1245991785. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

450 S WILLARD ST STE 107
COTTONWOOD, AZ
ZIP 86326-744
Phone: (928) 848-6161

The provider's authorized official is Michael Aranda .
The authorized official title is Provider/owner and has the following contact phone number (928) 308-3541.

The CLIA number assigned to this NPI record is 03D2257956 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2022 and was last updated on 3/2/2023.

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
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: 3/30/2025

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