VERDE COMMUNITY HEALTHCARE LLC NPI 1609479898

NPI Information

NPI: 1609479898
Provider Name: VERDE COMMUNITY HEALTHCARE LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 03D2226797

Address:
657 E COTTONWOOD ST STE 10
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 634-6369
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VERDE COMMUNITY HEALTHCARE LLC is a rural health clinic center in Cottonwood, AZ. VERDE COMMUNITY HEALTHCARE LLC NPI is 1609479898. The provider is registered as an organization entity type.

The provider's business location address is:

657 E COTTONWOOD ST STE 10
COTTONWOOD, AZ
ZIP 86326-407
Phone: (928) 634-6369
Fax: (928) 649-0228

The provider's authorized official is Jaenene K Morrow .
The authorized official title is Business Administrator and has the following contact phone number (928) 295-7377.

The CLIA number assigned to this NPI record is 03D2226797 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2020 and was last updated on 12/28/2022.

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

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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