CARNETT CLINIC LLC NPI 1790961167

NPI Information

  • NPI: 1790961167
  • Provider Name: CARNETT CLINIC, LLC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • CLIA Number: 03D0990189
  • Address: 4990 E MEDITERRANEAN DR STE A
    SIERRA VISTA, AZ
    ZIP 85635
  • Phone: (520) 439-5186

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NPI Details

CARNETT CLINIC, LLC is an adult medicine family medicine in Sierra Vista, AZ. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. CARNETT CLINIC, LLC NPI is 1790961167. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4990 E MEDITERRANEAN DR STE A
SIERRA VISTA, AZ
ZIP 85635-495
Phone: (520) 439-5186
Fax: (520) 439-4466

The provider's authorized official is Mark Christian Carnett .
The authorized official title is Physician and has the following contact phone number (520) 439-5186.

The CLIA number assigned to this NPI record is 03D0990189 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 1/9/2024.

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
1207QA0505XFamily MedicineAdult Medicine3174ARIZONAYes

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: 11/21/2025

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