WHITE MOUNTAIN WELLNESS CLINIC LLC (NPI# 1073038758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073038758 |
| Entity Type | Organization |
| Organization Name | WHITE MOUNTAIN WELLNESS CLINIC LLC |
| Other Organization Name | WHITE MOUNTAIN WELLNESS CLINIC |
| Practice Address |
151 N White Mountain Rd Ste E Show Low AZ 85901-5298 |
| Mailing Address |
6656 Dusty Ln Show Low AZ 85901-4182 |
| Practice Telephone | 4808864466 |
| Practice Fax Number | 9285631006 |
| Mailing Telephone | 4808864466 |
| Mailing Fax Number | 9285631006 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | HOLLY ENGELMAN (NURSE PRACTITIONER) |
| Authorized Official Telephone | 4808864466 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| White Mountain Wellness Clinic | Former Legal Business Name - Organization |
| Street Address |
151 N WHITE MOUNTAIN RD STE E |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-5298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053385435 | Scott Hastings Do Inc | Family Medicine | 151 N White Mountain Rd Ste E, Show Low, AZ 85901-5298 | 2006-02-14 |
| 1912437211 | Blue Hills Quick Care LLC | Clinic/Center | 151 N White Mountain Rd Ste E, Show Low, AZ 85901 | 2017-06-19 |
| 1477527851 | Craig Brady Do PC | Family Medicine | 151 N White Mountain Rd Ste E, Show Low, AZ 85901-5298 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912437211 | Blue Hills Quick Care LLC | Clinic/Center | 151 N White Mountain Rd Ste E, Show Low, AZ 85901 | 2017-06-19 |
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|---|---|---|---|---|
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| 1386269728 | Blu Advocate Primary Care LLC | Clinic/Center | 13029 W Vista Paseo Dr, Litchfield Park, AZ 85340-5572 | 2020-06-11 |
| 1114541752 | Allied Medical Associates Plc | Clinic/Center | 7525 E Broadway Rd Ste 9, Mesa, AZ 85208-1156 | 2020-05-29 |
| 1679196372 | Total Orthopedics, LLC | Clinic/Center | 4701 N 24th St Ste A1, Phoenix, AZ 85016-9145 | 2020-05-28 |
| 1154941763 | Queen Creek Naturopathic Pllc | Clinic/Center | 21820 S Ellsworth Rd # 101, Queen Creek, AZ 85142-9485 | 2020-04-23 |
| 1043830623 | Fhmc Clinic LLC | Clinic/Center | 9700 N Saguaro Blvd Suite 100, Fountain Hills, AZ 85268-6241 | 2020-04-23 |
| 1952934218 | Thrive Internal Medicine LLC | Clinic/Center | 8102 E Mcdowell Rd Ste 1a, Scottsdale, AZ 85257-3815 | 2020-02-14 |
| 1730712100 | Best Life Family Medicine Pllc | Clinic/Center | 3719 W Anthem Way Ste 102, Anthem, AZ 85086-0477 | 2020-02-13 |
| 1447881933 | Milagros Family Healthcare LLC | Clinic/Center | 11900 N La Canada Dr Unit 68222, Tucson, AZ 85737-4010 | 2020-02-03 |
| 1891334728 | Globaltranz Family Health Clin | Clinic/Center | 7350 N Dobson Rd # 130, Scottsdale, AZ 85256-2710 | 2019-12-23 |
| Find all providers with the same taxonomy | ||||
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| 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.