Provider Type Icon

WHITE MOUNTAIN REGIONAL MEDICAL CENTER NPI 1699766592


NPI Information

NPI: 1699766592
Provider Name: WHITE MOUNTAIN REGIONAL MEDICAL CENTER

Former Legal Business Name: WHITE MOUNTAIN COMMU

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 03D0533657

Address:
118 S MOUNTAIN AVE
SPRINGERVILLE, AZ
ZIP 85938
Phone: (928) 333-4368
Get Directions

WHITE MOUNTAIN REGIONAL MEDICAL CENTER is a critical access general acute care hospital in Springerville, AZ. WHITE MOUNTAIN REGIONAL MEDICAL CENTER NPI is 1699766592. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is White Mountain Commu.

The provider's business location address is:

118 S MOUNTAIN AVE
SPRINGERVILLE, AZ
ZIP 85938-104
Phone: (928) 333-4368
Fax: (928) 333-4369

The provider's authorized official is Wesley Babers .
The authorized official title is Ceo and has the following contact phone number (928) 333-7178.

The CLIA number assigned to this NPI record is 03D0533657 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 11/22/2023.


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
1282NC0060XGeneral Acute Care HospitalCritical AccessH2530ARIZONAYes

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
1192584MEDICAIDARIZONA

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

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.