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SLEEP DISORDER CENTER OF PRESCOTT VALLEY LLC NPI 1548365414


NPI Information

NPI: 1548365414
Provider Name: SLEEP DISORDER CENTER OF PRESCOTT VALLEY LLC

Other Name: SLEEP DISORDERS OF FLAGSTAFF LLC

Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
3259 N WINDSONG DR
SUITE A
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 772-6422
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SLEEP DISORDER CENTER OF PRESCOTT VALLEY LLC is a sleep disorder diagnostic clinic center in Prescott Valley, AZ. SLEEP DISORDER CENTER OF PRESCOTT VALLEY LLC NPI is 1548365414. The provider is registered as an organization entity type.
The provider Other Name Is Sleep Disorders Of Flagstaff Llc.

The provider's business location address is:

3259 N WINDSONG DR
SUITE A
PRESCOTT VALLEY, AZ
ZIP 86314-227
Phone: (928) 772-6422
Fax: (928) 772-6425

The provider's authorized official is Melanie Mundell .
The authorized official title is Billing Supervisor and has the following contact phone number (928) 453-9199.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 11/18/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS1200XClinic/CenterSleep Disorder DiagnosticYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DC9826OTHERARIZONARAILROAD MEDICARE
2Z107064MEDICARE PINARIZONA
3Z102495MEDICARE ID-TYPE UNSPECIFIEDARIZONA

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

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