YRMC PHYSICIANCARE INTERNAL MEDICINE (NPI# 1396919387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396919387 |
| Entity Type | Organization |
| Organization Name | YRMC PHYSICIANCARE INTERNAL MEDICINE |
| Practice Address |
3120 Clearwater Dr Prescott AZ 86305-7131 |
| Practice Telephone | 9287713704 |
| Mailing Telephone | 9287713704 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2010-10-05 |
| Authorized Official Name | MR. DONALD BOLIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9287715758 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2400X |
Clinic/Center Specialization: Prison Health |
35216 | AZ | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
35216 | AZ | Ambulatory Health Care Facilities |
| Street Address |
3120 CLEARWATER DR |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-7131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609862275 | Maria Therese Boedigheimer | Physician Assistant | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2005-09-20 |
| 1801100250 | Kenneth G. Lawlor, Do, Pllc | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2010-07-27 |
| 1255582003 | Yavapai Regional Medical Center Physician Care LLC | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2008-10-09 |
| 1982796686 | David Paul Danowski | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2006-09-29 |
| 1154420180 | Anthony V Torres | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2006-09-22 |
| 1265538235 | Nicholas H Rice | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2006-09-16 |
| 1326072000 | Allen Richard Gardner | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2006-07-10 |
| 1437101789 | Marc H Brickman | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2006-05-16 |
| 1619964061 | Doreen Ann Slabaugh | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811341183 | Shahla Forootan | Clinic/Center | 34 N French Pl, Prescott, AZ 86303-6257 | 2016-04-22 |
| 1982094819 | Priority Health | Clinic/Center | 3181 Clearwater Dr, Suite B, Prescott, AZ 86305-7118 | 2015-01-30 |
| 1598376766 | Arak LLC | Clinic/Center | 3124 Willow Creek Rd, Prescott, AZ 86301-6610 | 2020-08-12 |
| 1609346352 | Infinity Family Wellness | Clinic/Center | 1672 Oaklawn Dr, Prescott, AZ 86305-1106 | 2018-11-26 |
| 1154868867 | Krupnick Healthcare, LLC | Clinic/Center | 3181 Clearwater Dr, Suite B, Prescott, AZ 86305-7196 | 2017-01-20 |
| 1447652029 | B Healthy Family Medicine, LLC | Clinic/Center | 1000 Willow Creek Rd, Suite B, Prescott, AZ 86301-1645 | 2014-09-25 |
| 1477857159 | Your Health Clinic, Pllc | Clinic/Center | 724 N Montezuma St Ste A, Prescott, AZ 86301-2066 | 2011-01-10 |
| 1427365287 | Gladhart Family Medicine | Clinic/Center | 820 Ainsworth Dr, Suite A, Prescott, AZ 86301-1613 | 2010-09-01 |
| 1346577632 | Richard Covey, Md, PC | Clinic/Center | 3155 Stillwater Dr, Suite B, Prescott, AZ 86305-7172 | 2009-11-09 |
| 1679505812 | Michele M Peters Fnp | Clinic/Center | 1000 Ainsworth Dr, Ste A220, Prescott, AZ 86305-1645 | 2006-07-07 |
| Find all providers in PRESCOTT | ||||
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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.