PM&R OF YUMA PLLC


Address: 1773 W 24th St Ste C, Yuma, AZ 85364-6230
Phone: 9289550002

PM&R OF YUMA PLLC (NPI# 1518422054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518422054
Entity Type Organization
Organization Name PM&R OF YUMA PLLC
Other Organization Name PM&R OF YUMA PLLC
Practice Address 1773 W 24th St Ste C
Yuma
AZ 85364-6230
Practice Telephone 9289550002
Practice Fax Number 8442602871
Mailing Telephone 9289550002
Mailing Fax Number 8442602871
Enumeration Date 2019-02-08
Last Update Date 2019-07-04
Authorized Official Name HELEN OLLER (MANAGER)
Authorized Official Telephone 9289550002
Authorized Official Credential M.D
Is Organization Subpart Y
Parent Organization Name PM&R OF YUMA PLLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0401X Clinic/Center
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
PM&R OF YUMA PLLC Former Legal Business Name - Organization
PM&R PLLC Doing Business As Name - Organization

Office Location

Street Address 1773 W 24TH ST STE C
City YUMA
State AZ
Zip Code 85364-6230

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Taxonomy Information

Taxonomy Code 261QR0401X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Definition

Definition to come...

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Competitor

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City YUMA
Zip Code 85364

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Dataset Information

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.

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