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BLACK HILLS UROLOGY GROUP P.C. NPI 1801069158


NPI Information

NPI: 1801069158
Provider Name: BLACK HILLS UROLOGY GROUP, P.C.
Classification: Urology - 208800000X
Entity Type: Organization
Address:
294 W STATE ROUTE 89A
SUITE 208
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 649-7970
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BLACK HILLS UROLOGY GROUP, P.C. is an urology in Cottonwood, AZ. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. BLACK HILLS UROLOGY GROUP, P.C. NPI is 1801069158. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

294 W STATE ROUTE 89A
SUITE 208
COTTONWOOD, AZ
ZIP 86326-754
Phone: (928) 649-7970
Fax: (928) 649-7971

The provider's authorized official is Michael A Campenni .
The authorized official title is Co.owner/president and has the following contact phone number (928) 649-7970.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 11/15/2012.


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
1208800000XUrology36999ARIZONANo
2208800000XUrology4639ARIZONAYes

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
1G89432MEDICARE UPINARIZONA
21801069158OTHERARIZONAGROUP NPI FOR BLACK HILLS UROLOGY
34639OTHERARIZONAFOR DR. MICHAEL CAMPENNI
4328233MEDICAIDARIZONA
536999OTHERARIZONAFOR DR. STEVEN KURZWEIL
6324852MEDICAIDARIZONA
7Z122007MEDICARE 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

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