MT GRAHAM REGIONAL MEDICAL CENTER INC (NPI# 1275588345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275588345 |
| Entity Type | Organization |
| Organization Name | MT GRAHAM REGIONAL MEDICAL CENTER INC |
| Practice Address |
1600 S 20th Ave Safford AZ 85546 |
| Mailing Address |
1600 20th Ave Safford AZ 85546 |
| Practice Telephone | 9283484000 |
| Practice Fax Number | 9283484018 |
| Mailing Telephone | 9283484000 |
| Mailing Fax Number | 9283484018 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2010-04-21 |
| Authorized Official Name | PATRICK PETERS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9283484000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
H0140 | AZ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 196396 | 05 | |
| AZ | BCBS HOMEHEALTH | AZ0701200 | 01 |
| AZ | BCBS HOSPICE | AZ0701210 | 01 |
| AZ | BCBS HOSPITAL | AZ0000940 | 01 |
| AZ | 020082 | 05 | |
| AZ | HEALTHNET | IZ0074 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770549974 | Mt Graham Regional Medical Center Inc | Hospice Care, Community Based | 1600 S. 20th Ave, Bldg. E, Safford, AZ 85546 | 2006-04-25 |
| 1659337848 | Mt Graham Regional Medical Center Inc | Home Health | 1600 S. 20th Ave., Bldg. E, Safford, AZ 85546 | 2006-04-25 |
| 1003174715 | Mt Graham Regional Medical Center Inc | Home Health | 1600 S 20th Ave Bldg E, Safford, AZ 85546-4011 | 2012-05-01 |
| 1346528759 | Mt Graham Regional Medical Center Inc | Clinic/Center | 2250 W 16th St, Safford, AZ 85546-4081 | 2011-08-02 |
| 1285845800 | Mt Graham Regional Medical Center Inc | Medicare Defined Swing Bed Unit | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2007-05-25 |
| Street Address |
1600 S 20TH AVE |
| City | SAFFORD |
| State | AZ |
| Zip Code | 85546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943186 | Richard Hincha | Nurse Anesthetist, Certified Registered | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2005-06-24 |
| 1689209447 | Stephen David Smith | Occupational Therapist | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2020-03-11 |
| 1356982045 | Jami Heap | Dietitian, Registered | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2019-10-03 |
| 1740764059 | Jessica Virginia Cvetic | Physician Assistant | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2018-09-21 |
| 1043791247 | Andrew White | Physician Assistant | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2018-08-24 |
| 1609357946 | Rebecca Ann Dodd | Physician Assistant | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2018-08-24 |
| 1487152963 | Christina Panasci | Occupational Therapist | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2018-01-30 |
| 1609384023 | Tanya Miller | Health Educator | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2018-01-19 |
| 1063926574 | Dionne D Arciero | Occupational Therapy Assistant | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2017-11-20 |
| 1902316946 | Charles Jacob Gardner | Emergency Medicine | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2017-10-04 |
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| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
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|---|---|---|---|---|
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| 1386633915 | Gila River Health Care Corporation | General Acute Care Hospital | 48203 W. Farrell Rd., Maricopa, AZ 85139-0038 | 2005-10-17 |
| 1366993636 | Fort Defiance Indian Hospital Board, Inc | General Acute Care Hospital | Corner of Route N12 and N7, Fort Defiance Indian Hospital Board, Inc, Fort Defiance, AZ 86504-0589 | 2016-10-20 |
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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.