BULLHEAD FAMILY MEDICAL LLC (NPI# 1477931798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477931798 |
| Entity Type | Organization |
| Organization Name | BULLHEAD FAMILY MEDICAL LLC |
| Practice Address |
2840 Hway 95 Ste 420 Bullhead City AZ 86442-3721 |
| Practice Telephone | 9287541100 |
| Practice Fax Number | 9282778002 |
| Mailing Telephone | 9287541100 |
| Mailing Fax Number | 9282778002 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | PATRICK BECK (OWNER/MANAGER) |
| Authorized Official Telephone | 9283778601 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2840 HWAY 95 STE 420 |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86442-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
| 1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| Find all providers in zip 86442 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760921 | Valerie Pong | Nurse Practitioner | 530 Karen Way, Bullhead City, AZ 86442-6177 | 2020-11-03 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1922501378 | Brian Ellis Paronto | Nurse Practitioner | 3735 Highway 95, Bullhead City, AZ 86442-8199 | 2018-03-13 |
| 1972979755 | Martin A Rapp | Nurse Practitioner | 3750 Hway 95, Bullhead City, AZ 86442-8218 | 2015-08-17 |
| 1548510811 | Valley View Physician Practices LLC | Nurse Practitioner | 3641 Hway 95, Bullhead City, AZ 86442-8151 | 2012-09-14 |
| 1144468398 | Kim C. Ford | Nurse Practitioner | 2500 Canyon Rd, Building B Unite 2, Bullhead City, AZ 86442 | 2009-01-27 |
| 1427148246 | Nancy Dooling | Nurse Practitioner | 813 Hancock Rd, Bullhead City, AZ 86442-5032 | 2006-10-13 |
| 1003854605 | Jo Ann Forristal | Nurse Practitioner | 3735 Hway 95, Bullhead City, AZ 86442-8199 | 2006-06-04 |
| 1376141424 | Courtney Ann Sullenger | Nurse Practitioner | 2182 Highway 95, Bullhead City, AZ 86442-6044 | 2020-10-12 |
| Find all providers in BULLHEAD CITY | ||||
| City | BULLHEAD CITY |
| Zip Code | 86442 |
Please comment or provide details below to improve the information on BULLHEAD FAMILY MEDICAL LLC.
| 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.