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PHYSICIAN BUSINESS SERVICES LLC NPI 1649262965


NPI Information

NPI: 1649262965
Provider Name: PHYSICIAN BUSINESS SERVICES, LLC

Doing Business As: PRESCOTT VALLEY PRIMARY & URGENT CARE CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 03D2240953

Address:
3051 N WINDSONG DR
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 772-3336
Get Directions

PHYSICIAN BUSINESS SERVICES, LLC is a multi-specialty clinic center in Prescott Valley, AZ. PHYSICIAN BUSINESS SERVICES, LLC NPI is 1649262965. The provider is registered as an organization entity type.
The provider Is Doing Business As Prescott Valley Primary & Urgent Care Clinic.

The provider's business location address is:

3051 N WINDSONG DR
PRESCOTT VALLEY, AZ
ZIP 86314-248
Phone: (928) 772-3336
Fax: (928) 772-3363

The provider's authorized official is Dieter W. Krantz .
The authorized official title is Vice President and has the following contact phone number (928) 772-2591.

The CLIA number assigned to this NPI record is 03D2240953 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 8/30/2007.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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
1Z64419MEDICARE PINARIZONA
2553653MEDICAIDARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.