Sierra Land in Youngtown - Skilled Nursing Facility

Sierra Land - NPI 1295716454

Sierra Land is a Skilled Nursing Facility in Youngtown, Arizona. Sierra Land practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Sierra Land is 1295716454. The last update date is 2009-07-31.

Sierra Land's current location address is 12207 N 113th Ave, Youngtown, Arizona. You can contact this provider via phone number 6239776532 and fax number 6239776541. The mailing address for Sierra Land is 12207 N 113th Ave, Youngtown, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sierra Land
Address 12207 N 113th Ave, Youngtown, Arizona
Phone Number 6239776532
Fax Number 6239776541
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Dood James
Telephone Number 6239776532

NPI Number Detail

NPI Number 1295716454
Provider Enumeration Date 2005-11-07
Last Updated Date 2009-07-31

Provider Mailing Address Detail

Address 12207 N 113th Ave
City Youngtown
State Arizona (AZ)
Post Code 853631208
Phone Number 6239776532
Fax Number 6239776541

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No NCI-1504
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
538233-.01 AZ --
AZ0401440 AZ BLUECROSS BLUE SHIELD

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FAQs about Sierra Land

What is the unique identifier code issued to Sierra Land by the Centers for Medicare & Medicaid Services (CMS)?

The Sierra Land has been assigned the NPI (National Provider Identifier) 1295716454. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Sierra Land?

The Sierra Land is physically situated at 12207 N 113Th Ave, in the city of Youngtown, state of AZ, with the postal code 853631208.

What is Sierra Land's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Sierra Land is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.

When was the Sierra Land's 1295716454 issued?

The Sierra Land's 1295716454 was issued on 2005-11-07.

As of what date was the information regarding Sierra Land, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Sierra Land, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-07-31.

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