FAMILY HEALTH CENTER OF SIERRA VISTA PC NPI 1558563114

NPI Information

NPI: 1558563114
Provider Name: FAMILY HEALTH CENTER OF SIERRA VISTA, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D0671265

Address:
1800 E WILCOX DR
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 459-3116
Get Directions

FAMILY HEALTH CENTER OF SIERRA VISTA, PC is a family medicine in Sierra Vista, 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. FAMILY HEALTH CENTER OF SIERRA VISTA, PC NPI is 1558563114. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1800 E WILCOX DR
SIERRA VISTA, AZ
ZIP 85635-756
Phone: (520) 459-3116
Fax: (520) 459-7397

The provider's authorized official is Ralph E Mayberry .
The authorized official title is President and has the following contact phone number (520) 459-3116.

The CLIA number assigned to this NPI record is 03D0671265 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/4/2007 and was last updated on 12/11/2018.

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	207Q00000X	Family Medicine		16890	ARIZONA	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	A002	OTHER	ARIZONA	TRICARE WPS
2	CH7902	OTHER	ARIZONA	RAILROAD MEDICARE
3	HEALTHNET	OTHER	ARIZONA	1Z4100

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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