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YAVAPAI COMMUNITY HOSPITAL ASSOCIATION NPI 1649464454


NPI Information

NPI: 1649464454
Provider Name: YAVAPAI COMMUNITY HOSPITAL ASSOCIATION

Doing Business As: YAVAPAI REGIONAL MEDICAL CENTER GENERAL SURGERY

Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 03D1073078

Address:
804 AINSWORTH DRIVE STE. 103
PRESCOTT, AZ
ZIP 86301
Phone: (928) 445-2700
Get Directions

YAVAPAI COMMUNITY HOSPITAL ASSOCIATION is a surgery in Prescott, AZ. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. YAVAPAI COMMUNITY HOSPITAL ASSOCIATION NPI is 1649464454. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Yavapai Regional Medical Center General Surgery.

The provider's business location address is:

804 AINSWORTH DRIVE STE. 103
PRESCOTT, AZ
ZIP 86301-624
Phone: (928) 445-2700
Fax: (928) 771-5785

The provider's authorized official is Lee Livin .
The authorized official title is Chief Financial Officer and has the following contact phone number (928) 771-5691.

The CLIA number assigned to this NPI record is 03D1073078 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryH3964ARIZONANo
2208600000XSurgeryH0115ARIZONAYes

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

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