VERDE VALLEY MEDICAL CENTER (NPI# 1881822435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881822435 |
| Entity Type | Organization |
| Organization Name | VERDE VALLEY MEDICAL CENTER |
| Other Organization Name | FAMILY HEALTH PROVIDERS OF NORTHERN ARIZONA |
| Practice Address |
450 S Willard St Ste 115 Cottonwood AZ 86326 |
| Mailing Address |
1200 N Beaver St Attn: Managed Care Contracting Flagstaff AZ 86001-3118 |
| Practice Telephone | 9287732546 |
| Practice Fax Number | 9282136292 |
| Mailing Telephone | 9282136543 |
| Mailing Fax Number | 9282143613 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | RONALD F HAASE (NAH CHIEF SYSTEMS OFFICER) |
| Authorized Official Telephone | 9287732059 |
| Is Organization Subpart | Y |
| Parent Organization Name | VERDE VALLEY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Family Health Providers Of Northern Arizona | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538608716 | Verde Valley Medical Center | General Acute Care Hospital | 3700 W Highway 89a, Sedona, AZ 86336-4937 | 2017-02-21 |
| 1154768190 | Verde Valley Medical Center | Radiology | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2013-05-31 |
| 1184955932 | Verde Valley Medical Center | Hospitalist | 269 S Candy Ln, Vvmc Hospitalist, Cottonwood, AZ 86326-4158 | 2010-01-19 |
| 1134457666 | Verde Valley Medical Center | Orthopaedic Surgery | 450 S Willard St, Cottonwood, AZ 86326 | 2009-11-20 |
| 1780821074 | Verde Valley Medical Center | Pathology | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2009-01-08 |
| 1851545073 | Verde Valley Medical Center | Psychiatry & Neurology | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2008-11-14 |
| 1699942771 | Verde Valley Medical Center | Internal Medicine | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2008-05-08 |
| 1821260001 | Verde Valley Medical Center | Clinic/Center | 294 W Highway 89a, Cottonwood, AZ 86326-3754 | 2008-03-28 |
| 1356510010 | Verde Valley Medical Center | Durable Medical Equipment & Medical Supplies | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2008-02-27 |
| 1972789667 | Verde Valley Medical Center | Ambulance | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2008-01-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VERDE VALLEY MEDICAL CENTER | 269 S Candy Ln, Cottonwood, AZ 86326-4158 |
| Street Address |
450 S WILLARD ST STE 115 |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515235 | Northern Arizona Rehabilitation & Fitness | Physical Therapist | 450 S Willard St, Ste 106, Cottonwood, AZ 86326-6744 | 2005-06-01 |
| 1669867719 | Maxwell John Matson | Internal Medicine | 450 S Willard St, Cottonwood, AZ 86326 | 2015-04-04 |
| 1518373901 | April Schleier | Nurse Practitioner | 450 S Willard St, Cottonwood, AZ 86326-6743 | 2014-07-07 |
| 1730511296 | Julia M Trainor | Nurse Practitioner | 450 S Willard St, Suite 115, Cottonwood, AZ 86326-6743 | 2013-08-06 |
| 1821330028 | Celeste Cheri Scalf | Nurse Practitioner | 450 S Willard St, Suite 115, Cottonwood, AZ 86326-6743 | 2013-03-26 |
| 1417215229 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 450 S Willard St, Cottonwood, AZ 86326-6743 | 2012-04-30 |
| 1154689966 | Northern Arizona Healthcare Provider Group, LLC | Neuromusculoskeletal Medicine & OMM | 450 S Willard St, Cottonwood, AZ 86326-6743 | 2012-04-30 |
| 1174881973 | Northern Arizona Healthcare Provider Group, LLC | Orthopaedic Surgery | 450 S Willard St, Cottonwood, AZ 86326-6743 | 2012-04-30 |
| 1790058915 | Joshua Joseph Gibbons | Internal Medicine | 450 S Willard St, Suite 107, Cottonwood, AZ 86326-6743 | 2012-02-18 |
| 1205153699 | Corey Ellis Sonnett | Physician Assistant | 450 S Willard St, Suite 105, Cottonwood, AZ 86326-6743 | 2010-04-26 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1407928401 | William C Stonecipher | Family Medicine | 203 S Candy Ln Ste 13a, Cottonwood, AZ 86326-8113 | 2006-11-14 |
| 1497851067 | Malcolm Wilkinson, Md | Family Medicine | 300 S Willard St, Ste 101, Cottonwood, AZ 86326-4159 | 2006-09-14 |
| 1578585519 | Juneau D Stump Jr Md PC | Family Medicine | 18 E Beech St, Cottonwood, AZ 86326-4134 | 2006-07-25 |
| 1790722643 | Curtis G Kommer | Family Medicine | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2006-05-31 |
| 1568454353 | Cottonwood Medical Group | Family Medicine | 20633 Gas Point Rd, Cottonwood, CA 96022-9296 | 2005-08-17 |
| 1336146059 | Marvin L Colvin | Family Medicine | 753 N Main St, Ste. A, Cottonwood, AZ 86326-3649 | 2005-07-07 |
| 1316940232 | Haley J Minnehan | Family Medicine | 701 Lewiston St, Cottonwood, ID 83522-9750 | 2005-05-24 |
| 1740283555 | Andrew F Jones | Family Medicine | 1775 Keuterville Road, Cottonwood, ID 83522-9750 | 2005-05-24 |
| Find all providers in COTTONWOOD | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
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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.