RCHP-SIERRA VISTA INC NPI 1285869883

NPI Information

NPI: 1285869883
Provider Name: RCHP-SIERRA VISTA INC

Doing Business As: DOUGLAS FAMILY HEALTH

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1101 N SAN ANTONIO AVE
DOUGLAS, AZ
ZIP 85607
Phone: (520) 417-3001
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RCHP-SIERRA VISTA INC is a rural health clinic center in Douglas, AZ. RCHP-SIERRA VISTA INC NPI is 1285869883. The provider is registered as an organization entity type.
The provider Is Doing Business As Douglas Family Health.

The provider's business location address is:

1101 N SAN ANTONIO AVE
DOUGLAS, AZ
ZIP 85607-419
Phone: (520) 417-3001
Fax: (520) 417-3297

The provider's authorized official is Stephen L Page .
The authorized official title is Vice President and has the following contact phone number (615) 844-9849.

The CLIA number assigned to this NPI record is 03D0669190 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/27/2009 and was last updated on 11/19/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	030043	MEDICARE OSCAR/CERTIFICATION	ARIZONA

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

NPI Synchronization or Removal

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