FOUR PEAKS HEALTH CARE ASSOCIATES PLLC


Address: 930 N Switzer Canyon Dr Ste 102b, Flagstaff, AZ 86001-4834
Phone: 9287739714

FOUR PEAKS HEALTH CARE ASSOCIATES PLLC (NPI# 1720450232) 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) 1720450232
Entity Type Organization
Organization Name FOUR PEAKS HEALTH CARE ASSOCIATES PLLC
Practice Address 930 N Switzer Canyon Dr Ste 102b
Flagstaff
AZ 86001-4834
Mailing Address 906 W Parker Dr
Flagstaff
AZ 86005-8517
Practice Telephone 9287739714
Practice Fax Number 8774610613
Enumeration Date 2015-10-22
Last Update Date 2016-05-13
Authorized Official Name DR. THERESA DOWELL (MEDICAL DIRECTOR)
Authorized Official Telephone 9287739714
Authorized Official Credential FNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 930 N SWITZER CANYON DR STE 102B
City FLAGSTAFF
State AZ
Zip Code 86001-4834

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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City FLAGSTAFF
Zip Code 86001

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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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