MT GRAHAM REGIONAL MEDICAL CENTER INC (NPI# 1285845800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285845800 |
| Entity Type | Organization |
| Organization Name | MT GRAHAM REGIONAL MEDICAL CENTER INC |
| Practice Address |
1600 S 20th Ave Safford AZ 85546-4011 |
| Practice Telephone | 9283484000 |
| Practice Fax Number | 9283484018 |
| Mailing Telephone | 9283484000 |
| Mailing Fax Number | 9283484018 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2010-04-21 |
| Authorized Official Name | PATRICK PETERS (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9283484000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | HS314 | AZ | Hospital Units |
| 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 |
| 1275588345 | Mt Graham Regional Medical Center Inc | General Acute Care Hospital | 1600 S 20th Ave, Safford, AZ 85546 | 2006-05-24 |
| Street Address |
1600 S 20TH AVE |
| City | SAFFORD |
| State | AZ |
| Zip Code | 85546-4011 |
| 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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|---|---|---|---|---|
| 1104449628 | The Pain Institute of Southern Arizona PC | Anesthesiology | 2241 W 16th Street, Safford, AZ 85546 | 2020-05-19 |
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| 1053828160 | Easter Seals Blake Foundation | Community/Behavioral Health | 618 South Central Avenue, Safford, AZ 85546 | 2018-01-10 |
| 1508238700 | Southeastern Arizona Consumer-run Services | Clinic/Center | 628 Main St., Safford, AZ 85546 | 2015-10-27 |
| 1457774465 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1952 W Thatcher Blvd, Safford, AZ 85546 | 2014-01-27 |
| 1841634060 | Rs5 Investments LLC | Family Medicine | 1515 S. 20th Ave, Safford, AZ 85546 | 2013-04-18 |
| 1689946162 | South Eastern Arizona Behavioral Health Services, Inc. | Clinic/Center | 1609 S. 1st Ave, Safford, AZ 85546 | 2012-01-31 |
| 1669741435 | Southeastern Arizona Behavioral Health Services, Inc | Clinic/Center | 1609 S 1st Ave, Safford, AZ 85546 | 2011-12-22 |
| 1912295106 | Canyonlands | Clinic/Center | 618 S. Central Avenue, Safford, AZ 85546 | 2011-07-21 |
| 1255669354 | Dovetree Counseling Associates, Inc. | Community/Behavioral Health | 1906 Thatcher Blvd, Safford, AZ 85546 | 2009-12-01 |
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| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| 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 |
| 1255707873 | Hch Tucson Holdings LLC | Medicare Defined Swing Bed Unit | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2015-08-18 |
| 1114301017 | Banner Health | Medicare Defined Swing Bed Unit | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2015-07-10 |
| 1598038093 | La Paz Regional Hospital Inc | Medicare Defined Swing Bed Unit | 1200 W Mohave Rd, Parker, AZ 85344-6349 | 2012-02-14 |
| 1922252949 | Cobre Valley Community Hospital | Medicare Defined Swing Bed Unit | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2008-11-05 |
| 1730333758 | Cobre Valley Regional Medical Center | Medicare Defined Swing Bed Unit | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2008-11-05 |
| 1427213479 | Tuba City Regional Health Care Corporation | Medicare Defined Swing Bed Unit | 167 North Main Street, Tuba City, AZ 86045-0600 | 2008-07-18 |
| 1366623225 | Gabrieel M. Gaoriye Md PC | Medicare Defined Swing Bed Unit | 2001 W. Orange Grove Rd., #612, Tucson, AZ 85704-0000 | 2007-11-20 |
| 1952599870 | Phc-fort Mohave Inc | Medicare Defined Swing Bed Unit | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2007-10-04 |
| 1932300910 | Community Healthcare of Douglas Inc | Medicare Defined Swing Bed Unit | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2007-05-29 |
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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.