PHC-FORT MOHAVE INC (NPI# 1225301096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225301096 |
| Entity Type | Organization |
| Organization Name | PHC-FORT MOHAVE INC |
| Other Organization Name | VALLEY VIEW HOME HEALTH |
| Practice Address |
1520 E Hammer Ln Suite 102 Fort Mohave AZ 86426-6664 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 9287884140 |
| Practice Fax Number | 9287884148 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2015-07-23 |
| Authorized Official Name | VICTOR E. GIOVANETTI (PRESIDENT) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Valley View Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649766981 | Phc-fort Mohave Inc | Medicare Defined Swing Bed Unit | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2018-07-10 |
| 1225205065 | Phc-fort Mohave Inc | General Acute Care Hospital | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2008-05-12 |
| 1952599870 | Phc-fort Mohave Inc | Medicare Defined Swing Bed Unit | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2007-10-04 |
| 1538241914 | Phc-fort Mohave Inc | Rehabilitation Unit | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2006-10-19 |
| 1811086994 | Phc-fort Mohave Inc | General Acute Care Hospital | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2006-10-12 |
| Street Address |
1520 E HAMMER LN SUITE 102 |
| City | FORT MOHAVE |
| State | AZ |
| Zip Code | 86426-6664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512976 | Louis A Musso | Surgery | 1520 E Hammer Ln, Suite 104, Fort Mohave, AZ 86426-6664 | 2005-07-21 |
| 1386008506 | Valley View Physician Practices LLC | Surgery | 1520 E Hammer Ln, Ste 104, Fort Mohave, AZ 86426-6664 | 2016-04-13 |
| 1508110032 | Ramesh C Tandon Md Pllc | Surgery | 1520 E Hammer Ln, Suite 105, Fort Mohave, AZ 86426-6664 | 2012-11-06 |
| 1801924469 | Karen F Arcotta Md Ltd | Internal Medicine | 1520 E Hammer Ln, Suite 105, Fort Mohave, AZ 86426-6664 | 2007-03-02 |
| 1265541304 | Mohave Sleep Medicine Associates LLC | Clinic/Center | 1520 E Hammer Ln, Suite 103, Fort Mohave, AZ 86426-6664 | 2006-08-30 |
| 1942291117 | Mohave Neuro Rehab Consul PC | Psychiatry & Neurology | 1520 E Hammer Ln, Ste 106, Fort Mohave, AZ 86426-6664 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831740687 | Melissa Janos | Pharmacist | 4823 S, Az-95, Fort Mojave, AZ 86426 | 2019-09-24 |
| 1659774909 | Nicole Eileen Cash | Nurse Practitioner | 5653 S Highway 95 Ste A, Fort Mohave, AZ 86426 | 2014-10-01 |
| 1780009621 | Valley View Physician Practices, LLC | Physical Medicine & Rehabilitation | 5300 S. Highway 95, Ste. D., Ft. Mohave, AZ 86426 | 2014-03-02 |
| 1982840872 | Leticia Alcala | Massage Therapist | 5455 Hwy 95, Fort Mohave, AZ 86426 | 2008-12-23 |
| 1730387432 | Steven Dewayne Smart | Physical Therapist | 1988 Gemini St, Fort Mohave, AZ 86426 | 2007-07-05 |
| 1154543569 | Jonathan M. Brown, D.o., P.C. | Otolaryngology | 5300 South Highway 95, Suite M, Fort Mohave, AZ 86426 | 2007-05-03 |
| 1205931839 | Jennifer Lind Womack | Dietitian, Registered | 5300 S. Highway 95 Ste A, Fort Mohave, AZ 86426 | 2006-09-14 |
| 1053421057 | Kaye A Cunningham Md PC | Family Medicine | 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 | 2006-08-30 |
| 1780790576 | American Medical Imaging Inc | Radiology | 1517 E Aztec Ln, Fort Mohave, AZ 86426 | 2006-08-22 |
| 1902833817 | Allen E Stout | Chiropractor | 5130 Hwy 95, Fort Mohave, AZ 86426 | 2006-06-27 |
| Find all providers in zip 86426 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558764324 | V A Home Health 2 Inc | Home Health | 5287 S Highway 95, Suite G, Fort Mohave, AZ 86426-9220 | 2014-10-07 |
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| Find all providers with the same taxonomy | ||||
| City | FORT MOHAVE |
| Zip Code | 86426 |
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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.