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PWC II NPI 1932283686


NPI Information

NPI: 1932283686
Provider Name: PWC II

Other Name: PRESCOTT WOMEN'S CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 03D0681803

Address:
919 12TH PL
SUITE 1
PRESCOTT, AZ
ZIP 86305
Phone: (928) 778-4300
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PWC II is a specialist in Prescott, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PWC II NPI is 1932283686. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Prescott Women's Clinic.

The provider's business location address is:

919 12TH PL
SUITE 1
PRESCOTT, AZ
ZIP 86305-433
Phone: (928) 778-4300
Fax: (928) 771-0920

The provider's authorized official is Richard M Ohanesian .
The authorized official title is Partner and has the following contact phone number (928) 778-4300.

The CLIA number assigned to this NPI record is 03D0681803 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/25/2006 and was last updated on 4/3/2012.


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
1174400000XSpecialist28766ARIZONAYes

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
1Z70345MEDICARE PINARIZONA
2151770MEDICAIDARIZONA

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.