PHC-FORT MOHAVE INC (NPI# 1649766981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649766981 |
| Entity Type | Organization |
| Organization Name | PHC-FORT MOHAVE INC |
| Other Organization Name | VALLEY VIEW MEDICAL CENTER |
| Practice Address |
5330 S Highway 95 Fort Mohave AZ 86426-9225 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 9287882773 |
| Practice Fax Number | 9287887828 |
| Mailing Telephone | 6159207000 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | ROBERT N. KLEIN (PRESIDENT) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHC-FORT MOHAVE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Valley View Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225301096 | Phc-fort Mohave Inc | Home Health | 1520 E Hammer Ln, Suite 102, Fort Mohave, AZ 86426-6664 | 2012-02-09 |
| 1225205065 | Phc-fort Mohave Inc | General Acute Care Hospital | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2008-05-12 |
| 1952599870 | Phc-fort Mohave Inc | Medicare Defined Swing Bed Unit | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2007-10-04 |
| 1538241914 | Phc-fort Mohave Inc | Rehabilitation Unit | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2006-10-19 |
| 1811086994 | Phc-fort Mohave Inc | General Acute Care Hospital | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2006-10-12 |
| Street Address |
5330 S HIGHWAY 95 |
| City | FORT MOHAVE |
| State | AZ |
| Zip Code | 86426-9225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568456473 | Andres Alvarado | Anesthesiology | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2005-09-07 |
| 1265067920 | Rachel Otis | Spec/Tech, Pathology | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2020-03-03 |
| 1144704933 | Kristen Peddycord | Nurse Practitioner | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2018-09-18 |
| 1285163121 | Nes Arizona Inc | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426 | 2017-06-05 |
| 1316483720 | Radiologic Associates of Northwest Arizona Plc | Radiology | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2017-01-09 |
| 1962959767 | Em Medical Management of Fort Mohave, LLC | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2016-09-08 |
| 1598157745 | Fort Mohave Emergency Medical Associates Inc | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2015-02-25 |
| 1316354400 | Nathan Ethridge | Physician Assistant | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2014-07-21 |
| 1154758043 | Valley View Emergency Group LLC | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2013-10-09 |
| 1609124544 | Arizona Physician Services LLC | Anesthesiology | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2012-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831740687 | Melissa Janos | Pharmacist | 4823 S, Az-95, Fort Mojave, AZ 86426 | 2019-09-24 |
| 1659774909 | Nicole Eileen Cash | Nurse Practitioner | 5653 S Highway 95 Ste A, Fort Mohave, AZ 86426 | 2014-10-01 |
| 1780009621 | Valley View Physician Practices, LLC | Physical Medicine & Rehabilitation | 5300 S. Highway 95, Ste. D., Ft. Mohave, AZ 86426 | 2014-03-02 |
| 1982840872 | Leticia Alcala | Massage Therapist | 5455 Hwy 95, Fort Mohave, AZ 86426 | 2008-12-23 |
| 1730387432 | Steven Dewayne Smart | Physical Therapist | 1988 Gemini St, Fort Mohave, AZ 86426 | 2007-07-05 |
| 1154543569 | Jonathan M. Brown, D.o., P.C. | Otolaryngology | 5300 South Highway 95, Suite M, Fort Mohave, AZ 86426 | 2007-05-03 |
| 1205931839 | Jennifer Lind Womack | Dietitian, Registered | 5300 S. Highway 95 Ste A, Fort Mohave, AZ 86426 | 2006-09-14 |
| 1053421057 | Kaye A Cunningham Md PC | Family Medicine | 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 | 2006-08-30 |
| 1780790576 | American Medical Imaging Inc | Radiology | 1517 E Aztec Ln, Fort Mohave, AZ 86426 | 2006-08-22 |
| 1902833817 | Allen E Stout | Chiropractor | 5130 Hwy 95, Fort Mohave, AZ 86426 | 2006-06-27 |
| Find all providers in zip 86426 | ||||
| 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 |
|---|---|---|---|---|
| 1952599870 | Phc-fort Mohave Inc | Medicare Defined Swing Bed Unit | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1932300910 | Community Healthcare of Douglas Inc | Medicare Defined Swing Bed Unit | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2007-05-29 |
| 1285845800 | Mt Graham Regional Medical Center Inc | Medicare Defined Swing Bed Unit | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2007-05-25 |
| 1942347208 | Page Hospital | Medicare Defined Swing Bed Unit | 501 N Navajo, Page, AZ 86040 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT MOHAVE |
| Zip Code | 86426 |
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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.