VERDE VALLEY MEDICAL CENTER (NPI# 1033394762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033394762 |
| Entity Type | Organization |
| Organization Name | VERDE VALLEY MEDICAL CENTER |
| Other Organization Name | PHYSICIAN BILLING |
| Practice Address |
269 S Candy Ln Cottonwood AZ 86326-4158 |
| Mailing Address |
1200 N Beaver St Attn: Managed Care Contracting Flagstaff AZ 86001-3118 |
| Practice Telephone | 9287732546 |
| Practice Fax Number | 9282136292 |
| Mailing Telephone | 9282136543 |
| Mailing Fax Number | 9282143613 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | RONALD F HAASE (NAH CHIEF SYSTEMS OFFICER) |
| Authorized Official Telephone | 9287732059 |
| Is Organization Subpart | Y |
| Parent Organization Name | VERDE VALLEY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | H-122 | AZ | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Physician Billing | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538608716 | Verde Valley Medical Center | General Acute Care Hospital | 3700 W Highway 89a, Sedona, AZ 86336-4937 | 2017-02-21 |
| 1154768190 | Verde Valley Medical Center | Radiology | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2013-05-31 |
| 1184955932 | Verde Valley Medical Center | Hospitalist | 269 S Candy Ln, Vvmc Hospitalist, Cottonwood, AZ 86326-4158 | 2010-01-19 |
| 1134457666 | Verde Valley Medical Center | Orthopaedic Surgery | 450 S Willard St, Cottonwood, AZ 86326 | 2009-11-20 |
| 1881822435 | Verde Valley Medical Center | Family Medicine | 450 S Willard St, Ste 115, Cottonwood, AZ 86326 | 2009-06-22 |
| 1780821074 | Verde Valley Medical Center | Pathology | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2009-01-08 |
| 1851545073 | Verde Valley Medical Center | Psychiatry & Neurology | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2008-11-14 |
| 1699942771 | Verde Valley Medical Center | Internal Medicine | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2008-05-08 |
| 1821260001 | Verde Valley Medical Center | Clinic/Center | 294 W Highway 89a, Cottonwood, AZ 86326-3754 | 2008-03-28 |
| 1356510010 | Verde Valley Medical Center | Durable Medical Equipment & Medical Supplies | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2008-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VERDE VALLEY MEDICAL CENTER | 269 S Candy Ln, Cottonwood, AZ 86326-4158 |
| Street Address |
269 S CANDY LN |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345383 | Eugene M.r. Charlebois | Emergency Medicine | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2005-06-08 |
| 1306463740 | Riley Benjamin Johnson | Dietitian, Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-07-01 |
| 1821619891 | Joshua Thomas Haywood | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-30 |
| 1396364162 | Jeremy Schmoyer | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-13 |
| 1144849993 | Miranda Rose Anderson | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-12 |
| 1659900876 | Eddie Khav | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4170 | 2020-04-08 |
| 1790314961 | Michelle Anne Pope | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-08 |
| 1699320390 | Emily Kathryn Danca | Dietitian, Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-08-08 |
| 1760036909 | Tarra Denise Young | Nurse Practitioner | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-07-25 |
| 1275195950 | Samer Saeed Hasson | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437344686 | Dennis J. Reed, Md PC | Specialist | 1759 E Villa Dr Ste 313, Cottonwood, AZ 86326-5997 | 2007-09-11 |
| 1275626939 | Ian R Livingstone | Specialist | 269 S Candy Ln Ste 107, Cottonwood, AZ 86326-4158 | 2006-10-02 |
| 1932134186 | Cardiac Care, P.C. | Specialist | 450 S Willard St Ste 115, Cottonwood, AZ 86326-6744 | 2006-07-12 |
| 1730135567 | Jon Ross Cook | Specialist | 657 E Cottonwood St, Suite 10b, Cottonwood, AZ 86326-4407 | 2006-05-25 |
| 1104881952 | Lawrence Blumen | Specialist | 115 S Candy Ln, Cottonwood, AZ 86326-4188 | 2006-04-17 |
| 1205890134 | Resource Physical Therapy | Specialist | 825 W Mingus Ave, Cottonwood, AZ 86326-4088 | 2006-04-17 |
| 1972598613 | Charles Joseph Rolle | Specialist | 294 W Hwy 89a, Suite 203, Cottonwood, AZ 86326-3754 | 2005-09-19 |
| 1154326023 | Precision Physical Therapy, LLC | Specialist | 856 Cove Pkwy, Ste A-b, Cottonwood, AZ 86326-5449 | 2005-06-16 |
| 1427265628 | R. Scott Kinkade Md PC | Specialist | 294 W Highway 89a, Suite 211, Cottonwood, AZ 86326-3754 | 2007-05-17 |
| 1861550873 | Senska Physical Therapy, Inc | Specialist | 657 E Cottonwood St, Suite 10, Cottonwood, AZ 86326-4407 | 2006-12-04 |
| Find all providers in COTTONWOOD | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
Please comment or provide details below to improve the information on VERDE VALLEY MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.