Arizona Grand Medical Center in Prescott - Specialist
Arizona Grand Medical Center - NPI 1578766655
Arizona Grand Medical Center is a Specialist in Prescott, Arizona. Arizona Grand Medical Center practices all healthcare services and medical treatments related to Specialist. The NPI Number for Arizona Grand Medical Center is 1578766655. The last update date is 2020-08-22.
Arizona Grand Medical Center's current location address is 1590 Willow Creek Rd, Prescott, Arizona. You can contact this provider via phone number 9287719314. The mailing address for Arizona Grand Medical Center is 1590 Willow Creek Rd, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Arizona Grand Medical Center |
|---|---|
| Address | 1590 Willow Creek Rd, Prescott, Arizona |
| Phone Number | 9287719314 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Bhowra Satty |
| Telephone Number | 6022008988 |
NPI Number Detail
| NPI Number | 1578766655 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1590 Willow Creek Rd |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863011141 |
| Phone Number | 9287719314 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identifier code issued to Arizona Grand Medical Center by the Centers for Medicare & Medicaid Services?
The Arizona Grand Medical Center has been assigned the NPI (National Provider Identifier) 1578766655. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Arizona Grand Medical Center's physical address?
The Arizona Grand Medical Center is physically located at 1590 Willow Creek Rd, in the city of Prescott, AZ, with the postal code 863011141.
What is Arizona Grand Medical Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Arizona Grand Medical Center's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Arizona Grand Medical Center receive its 1578766655 assignment from the Centers for Medicare & Medicaid Services?
The Arizona Grand Medical Center was assigned its 1578766655 by the Centers for Medicare & Medicaid Services on 2007-06-07.
As of what date were the Arizona Grand Medical Center's details last updated?
The information pertaining to the Arizona Grand Medical Center, including its address, specialty, and other details, was most recently updated on 2020-08-22.