ARIZONA GRAND MEDICAL CENTER PLLC NPI 1427224443

NPI Information

NPI: 1427224443
Provider Name: ARIZONA GRAND MEDICAL CENTER PLLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 03D0953447

Address:
7900 E FLORENTINE RD
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 632-1155
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ARIZONA GRAND MEDICAL CENTER PLLC is a multi-specialty clinic center in Prescott Valley, AZ. ARIZONA GRAND MEDICAL CENTER PLLC NPI is 1427224443. The provider is registered as an organization entity type.

The provider's business location address is:

7900 E FLORENTINE RD
PRESCOTT VALLEY, AZ
ZIP 86314-218
Phone: (928) 632-1155
Fax: (928) 632-8295

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

The CLIA number assigned to this NPI record is 03D0953447 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 4/30/2008.

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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