GILA VALLEY CLINIC PC (NPI# 1740767664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740767664 |
| Entity Type | Organization |
| Organization Name | GILA VALLEY CLINIC PC |
| Other Organization Name | GILA VALLEY CLINIC |
| Practice Address |
1680 S 20th Ave Safford AZ 85546 |
| Mailing Address |
1680 S 20th Ave Safford AZ 85546-4011 |
| Practice Telephone | 9284281377 |
| Practice Fax Number | 9284286903 |
| Mailing Telephone | 9284281377 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-09-07 |
| Authorized Official Name | DONNA S. COCA (BUSINESS MANAGER) |
| Authorized Official Telephone | 9284281377 |
| Is Organization Subpart | Y |
| Parent Organization Name | GILA VALLEY CLINIC PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 121963 | 05 |
| Other Name | Type Code |
|---|---|
| GILA VALLEY CLINIC | Doing Business As Name - Organization |
| Street Address |
1680 S 20TH AVE |
| City | SAFFORD |
| State | AZ |
| Zip Code | 85546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972537298 | Gail D Guerrero-tucker | Family Medicine | 1680 S 20th Ave, Safford, AZ 85546-4011 | 2006-07-10 |
| 1598227654 | Garrett Commodore Hunter | Physician Assistant | 1680 S 20th Ave, Safford, AZ 85546-4011 | 2019-04-05 |
| 1033608401 | Vicky Schwallier | Counselor | 1680 S 20th Ave, Safford, AZ 85546-4011 | 2018-05-01 |
| 1922547710 | Todd Schwallier | Nurse Practitioner | 1680 S 20th Ave, Safford, AZ 85546-4011 | 2017-02-14 |
| 1366890048 | Tajma Flavia Palma | Nurse Practitioner | 1680 S 20th Ave, Safford, AZ 85546-4011 | 2016-06-02 |
| 1992108070 | Joshua Lawrence Benson | Physician Assistant | 1680 S 20th Ave, Safford, AZ 85546-4011 | 2014-10-02 |
| 1023383254 | Shelley Anne Vaughn | Nurse Practitioner | 1680 S 20th Ave, Safford, AZ 85546-4011 | 2012-03-21 |
| 1700151271 | Tanya Marie Tillman | Registered Nurse | 1680 S 20th Ave, Safford, AZ 85546-4011 | 2012-03-17 |
| 1134449119 | Melinda M Feely | Family Medicine | 1680 S 20th Ave, Safford, AZ 85546-4011 | 2010-06-01 |
| 1255510228 | Gila Valley Clinic, PC | Family Medicine | 1680 S 20th Ave, Safford, AZ 85546-4011 | 2007-10-26 |
| Find all providers in the same location | ||||
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| 1053828160 | Easter Seals Blake Foundation | Community/Behavioral Health | 618 South Central Avenue, Safford, AZ 85546 | 2018-01-10 |
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| 1457774465 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1952 W Thatcher Blvd, Safford, AZ 85546 | 2014-01-27 |
| 1841634060 | Rs5 Investments LLC | Family Medicine | 1515 S. 20th Ave, Safford, AZ 85546 | 2013-04-18 |
| 1689946162 | South Eastern Arizona Behavioral Health Services, Inc. | Clinic/Center | 1609 S. 1st Ave, Safford, AZ 85546 | 2012-01-31 |
| 1669741435 | Southeastern Arizona Behavioral Health Services, Inc | Clinic/Center | 1609 S 1st Ave, Safford, AZ 85546 | 2011-12-22 |
| 1912295106 | Canyonlands | Clinic/Center | 618 S. Central Avenue, Safford, AZ 85546 | 2011-07-21 |
| 1255669354 | Dovetree Counseling Associates, Inc. | Community/Behavioral Health | 1906 Thatcher Blvd, Safford, AZ 85546 | 2009-12-01 |
| Find all providers in zip 85546 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1346528759 | Mt Graham Regional Medical Center Inc | Clinic/Center | 2250 W 16th St, Safford, AZ 85546-4081 | 2011-08-02 |
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|---|---|---|---|---|
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| 1447865654 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 3, San Luis, AZ 85336-0756 | 2020-09-14 |
| 1457966657 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 5, San Luis, AZ 85336-0756 | 2020-09-14 |
| 1992321723 | Ponderosa Family Care, LLC | Clinic/Center | 127 E Main St Ste D, Payson, AZ 85541-5646 | 2020-06-17 |
| 1770097123 | Community Hospital Association, Inc. | Clinic/Center | 32919 N Center St Ste B, Wittmann, AZ 85361-9433 | 2017-11-21 |
| 1720433832 | Parker Medical Center, Ltd | Clinic/Center | 905 S Fiesta Ave, Parker, AZ 85344-5152 | 2016-04-26 |
| 1386904019 | Mz Trans | Clinic/Center | 8603 N 22nd Ave Apt 134, Phoenix, AZ 85021 | 2012-05-29 |
| 1497021844 | Cobre Valley Regional Medical Center | Clinic/Center | 124 N Tewskbury Blvd, Young, AZ 85554-0000 | 2012-03-30 |
| 1609144393 | Community Hospital Association, Inc. | Clinic/Center | 26750 S. Santa Fe Road, Suite B, Congress, AZ 85332 | 2011-12-08 |
| 1285869883 | Rchp-sierra Vista Inc | Clinic/Center | 1101 N San Antonio Ave, Douglas, AZ 85607-2419 | 2009-05-27 |
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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.