WHITE MOUNTAIN SLEEP LAB., INC. (NPI# 1932149705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932149705 |
Entity Type | Organization |
Organization Name | WHITE MOUNTAIN SLEEP LAB., INC. |
Practice Address |
386 N Main St Eagar AZ 85925-9801 |
Practice Telephone | 9283331569 |
Practice Fax Number | 9283333015 |
Mailing Telephone | 9283331569 |
Mailing Fax Number | 9283333015 |
Enumeration Date | 2006-06-08 |
Last Update Date | 2007-10-18 |
Authorized Official Name | DR. ROY WILKINS (PRESIDENT) |
Authorized Official Telephone | 9283331569 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 823360 | 05 |
Street Address |
386 N MAIN ST |
City | EAGAR |
State | AZ |
Zip Code | 85925-9801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851950588 | Nicholas Talbert Mallory | Dentist | 133 W Central Ave, Eagar, AZ 85925 | 2019-06-06 |
1063945277 | Ez Counseling | Community/Behavioral Health | 910 S Burk St, Eagar, AZ 85925 | 2017-04-05 |
1114393782 | Mason Wade Trezise | Specialist/Technologist | 98 E 7th Pl, Eagar, AZ 85925 | 2015-08-18 |
1841673076 | Marshall Hunt Hamblin | Dentist | 133 West Central Ave., Eagar, AZ 85925 | 2015-07-07 |
1174895395 | Kevin M Eagar | Chiropractor | 41 W 2nd Ave, Eagar, AZ 85925 | 2012-02-03 |
1144465568 | Natalie Sue Cordova | Speech-Language Pathologist | 165 Brown Street, Eagar, AZ 85925 | 2008-12-15 |
1467500488 | Friendship House-rvccc | Assisted Living Facility | 381 E Third Ave, Eagar, AZ 85925 | 2007-01-08 |
1477611135 | Round Valley Unified School District #10 | Local Education Agency (LEA) | 165 S. Brown, Eagar, AZ 85925 | 2006-12-05 |
1316015712 | Brooke Arlene Mccarthy | Occupational Therapist | 352 North Renee Street, Eagar, AZ 85925 | 2006-12-01 |
1326003427 | Stephen M Palmer Dds PC | Dentist | 74 N Main St, Ste 9, Eagar, AZ 85925 | 2006-04-20 |
Find all providers in zip 85925 |
Taxonomy Code | 261QS1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Sleep Disorder Diagnostic |
Definition to come... |
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1770199176 | Banner Sleep Centers LLC | Clinic/Center | 5757 W Thunderbird Rd Ste 352, Glendale, AZ 85306-4641 | 2020-09-21 |
1629689336 | Valley Oximetry Incorporated | Clinic/Center | 13481 W Mcdowell Rd Ste 200, Goodyear, AZ 85395-2720 | 2020-08-14 |
1720629058 | Good Night Sleep Services, LLC | Clinic/Center | 13949 W Meeker Blvd Ste E, Sun City West, AZ 85375-4436 | 2019-10-08 |
1386151900 | Sleep Science Mobile Sleep and Neuro Services, LLC | Clinic/Center | 700 W Prince Rd Ste 150, Tucson, AZ 85705-3480 | 2018-01-04 |
1861936908 | 1 Stop Cpap Shop | Clinic/Center | 7760 E State Route 69, C5-207, Prescott Valley, AZ 86314-2201 | 2016-12-08 |
1629457460 | Sleep Essential Systems LLC | Clinic/Center | 1442 W Kandy Ct, Tucson, AZ 85745-3803 | 2015-05-26 |
1821490681 | Rejuvenight, LLC | Clinic/Center | 13840 N Northsight Blvd Ste 117, Scottsdale, AZ 85260-3665 | 2014-09-23 |
1811249071 | Sonoran Sleep Diagnostics, LLC | Clinic/Center | 2410 W Ruthrauff Rd, Suite M, Tucson, AZ 85705-1952 | 2012-10-11 |
1053602987 | Cochise County Neurodiagnostics | Clinic/Center | 2160 E Fry Blvd Ste C5, Sierra Vista, AZ 85635-2794 | 2011-04-26 |
Find all providers with the same taxonomy |
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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.