ARIZONA GRAND MEDICAL CENTER, PLLC - COTTONWOOD (NPI# 1538392030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538392030 |
Entity Type | Organization |
Organization Name | ARIZONA GRAND MEDICAL CENTER, PLLC - COTTONWOOD |
Practice Address |
401 S Calvary Way Suite B Cottonwood AZ 86326-4165 |
Mailing Address |
Po Box 47090 Phoenix AZ 85068-7090 |
Practice Telephone | 6025504065 |
Practice Fax Number | 6239345603 |
Mailing Telephone | 6239435600 |
Mailing Fax Number | 6239435603 |
Enumeration Date | 2009-08-31 |
Last Update Date | 2009-08-31 |
Authorized Official Name | MRS. SATTY BHOWRA (PRACTICE ADMINISTRATION) |
Authorized Official Telephone | 6025504065 |
Is Organization Subpart | Y |
Parent Organization Name | ARIZONA GRAND MEDICAL CENTER, PLLC |
Parent Organization TIN |
|
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
401 S CALVARY WAY SUITE B |
City | COTTONWOOD |
State | AZ |
Zip Code | 86326-4165 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528050135 | Michael Karl Mckinney | Internal Medicine | 401 S Calvary Way, Ste. D, Cottonwood, AZ 86326-4165 | 2005-08-19 |
1134673254 | Independent Medical and Surgical | Anesthesiologist Assistant | 401 S Calvary Way, Suite D, Cottonwood, AZ 86326-4165 | 2016-08-05 |
1942609508 | Sleepmed Center, LLC | Clinic/Center | 401 S Calvary Way, Suite B, Cottonwood, AZ 86326-4165 | 2014-08-20 |
1164655668 | Ez Sleep Lab,llc | Clinic/Center | 401 S Calvary Way, Suite B, Cottonwood, AZ 86326-4165 | 2009-08-31 |
1376658633 | Donald J Curran Do Pllc | Psychiatry & Neurology | 401 S Calvary Way, Suite B, Cottonwood, AZ 86326-4165 | 2006-08-20 |
1477500155 | Sedona Foot & Ankle Specialists PC | Podiatrist | 401 S Calvary Way, Ste A, Cottonwood, AZ 86326-4169 | 2006-05-28 |
1215994561 | Serjik Nazarian | Podiatrist | 401 S Calvary Way, Ste A, Cottonwood, AZ 86326-4165 | 2006-04-28 |
1780669747 | Karen E Apodaca | Family Medicine | 401 S Calvary Way, Suite B, Cottonwood, AZ 86326-4165 | 2005-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
Find all providers in zip 86326 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1639786585 | Crossover Health Medical Group | Clinic/Center | 1847 E Southern Ave Ste 3, Tempe, AZ 85282-5881 | 2020-09-24 |
1821605775 | Crossover Health Medical Group | Clinic/Center | 5251 W Campbell Ave Ste 200, Phoenix, AZ 85031-1719 | 2020-09-24 |
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1235745464 | Vasco Healthcare Inc | Clinic/Center | 2110 W 24th St Ste A, Yuma, AZ 85364-8878 | 2020-09-22 |
1265048490 | Vasco Healthcare Inc | Clinic/Center | 8952 E Desert Cove Ave Ste 204, Scottsdale, AZ 85260-6777 | 2020-09-22 |
1942816160 | Vasco Healthcare Inc | Clinic/Center | 13026 W Rancho Santa Fe Blvd Ste B100, Avondale, AZ 85392-1712 | 2020-09-22 |
Find all providers with the same taxonomy |
City | COTTONWOOD |
Zip Code | 86326 |
Please comment or provide details below to improve the information on ARIZONA GRAND MEDICAL CENTER, PLLC - COTTONWOOD.
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.