Provider Type Icon

SPECTRUM HEALTHCARE GROUP INC NPI 1770917007


NPI Information

NPI: 1770917007
Provider Name: SPECTRUM HEALTHCARE GROUP, INC

Former Legal Business Name: VALLEY MEDICAL CENTER

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
214 S MAIN ST
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 634-7534
Get Directions

SPECTRUM HEALTHCARE GROUP, INC is a pediatrics in Cottonwood, AZ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SPECTRUM HEALTHCARE GROUP, INC NPI is 1770917007. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Valley Medical Center.

The provider's business location address is:

214 S MAIN ST
COTTONWOOD, AZ
ZIP 86326-907
Phone: (928) 634-7534
Fax: (928) 634-9642

The provider's authorized official is Connie Svaleng .
The authorized official title is Cfo and has the following contact phone number (928) 634-2236.

The enumeration date for this NPI number is 8/22/2013 and was last updated on 6/5/2014.


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
1207R00000XInternal MedicineOTC5537ARIZONANo
2363A00000XPhysician AssistantOTC5537ARIZONANo
3363LF0000XNurse PractitionerFamilyOTC5537ARIZONANo
4208000000XPediatricsOTC5537ARIZONAYes

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
1ZWMBQFMEDICARE PINARIZONA

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.