ARIZONA GRAND MEDICAL CENTER PLLC


Address: 3773 Crossings Dr, Suite B, Prescott, AZ 86305-7140
Phone: 6025504065

ARIZONA GRAND MEDICAL CENTER PLLC (NPI# 1720497258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720497258
Entity Type Organization
Organization Name ARIZONA GRAND MEDICAL CENTER PLLC
Other Organization Name ARIZONA GRAND MEDICAL CENTER- CROSSINGS 2
Practice Address 3773 Crossings Dr
Suite B
Prescott
AZ 86305-7140
Mailing Address Po Box 47729
Phoenix
AZ 85068-7729
Practice Telephone 6025504065
Practice Fax Number 6239345603
Mailing Telephone 6025504065
Mailing Fax Number 6239345603
Enumeration Date 2014-08-08
Last Update Date 2014-08-08
Authorized Official Name SATWANT BHOWRA (CFO)
Authorized Official Telephone 6025504065
Is Organization Subpart Y
Parent Organization Name ARIZONA GRAND MEDICAL CENTER, PLLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Arizona Grand Medical Center- Crossings 2 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427224443 Arizona Grand Medical Center Pllc Clinic/Center 7900 E Florentine Rd, Prescott Valley, AZ 86314-2218 2008-04-30
1003111378 Arizona Grand Medical Center Pllc Clinic/Center 3777 Crossings Dr, Prescott, AZ 86305-7121 2011-01-18
1619998705 Arizona Grand Medical Center Pllc Clinic/Center 3777 Crossings Dr, Prescott, AZ 86305-7121 2006-07-22
1992751952 Arizona Grand Medical Center Pllc Clinic/Center 4225 W Glendale Ave, Suite B 200, Phoenix, AZ 85051-8194 2006-05-25

Office Location

Street Address 3773 CROSSINGS DR
SUITE B
City PRESCOTT
State AZ
Zip Code 86305-7140

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225269673 Daniel Alberto Cadena Castillo Internal Medicine 3773 Crossings Dr, Suite C, Prescott, AZ 86305-7140 2009-08-03
1871922989 Arizona Grand Medical Center, Pllc Internal Medicine 3773 Crossings Dr, Suite C, Prescott, AZ 86305-7140 2013-11-08
1861722563 Stillwater Dental,pc Dentist 3773 Crossings Dr, Suitec, Prescott, AZ 86305-7121 2010-01-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972005395 Granite View Adult Care Home LLC Assisted Living Facility 7105 Williamson Valley Road, Prescott, AZ 86305 2018-03-01
1215468095 Valerie Williams Occupational Therapist 926 S. Hinman Dr., Prescott, AZ 86305 2017-03-23
1174073837 Caspian Gleam Medical Center LLC Clinic/Center 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 2016-10-06
1114388634 Marla Beth Perkins Speech-Language Pathologist 3160 Stillwater Dr., Prescott, AZ 86305 2016-03-10
1790159853 Michele A. Bibeau, D.d.s. Dentist 1058 Fair Street, Suite A, Prescott, AZ 86305 2015-11-30
1609264837 Integrative Pain Centres of Prescott Pain Medicine 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 2014-12-22
1649697251 Sharon Marilyn Jackson Counselor 3636 Crossings Drive, Prescott, AZ 86305 2014-03-20
1215351259 Stefanie Maneval Registered Nurse 900 Iron Springs Rd, Prescott, AZ 86305 2014-02-11
1508207523 Recovery In The Pines, LLC Community/Behavioral Health 919 12th Place #13, Prescott, AZ 86305 2013-07-08
1871857359 Neal Herbert Segovia Cabaluna Internal Medicine 3773 Crossings Dr Ste C, Prescott, AZ 86305 2012-06-28
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174073837 Caspian Gleam Medical Center LLC Clinic/Center 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 2016-10-06
1003111378 Arizona Grand Medical Center Pllc Clinic/Center 3777 Crossings Dr, Prescott, AZ 86305-7121 2011-01-18
1619998705 Arizona Grand Medical Center Pllc Clinic/Center 3777 Crossings Dr, Prescott, AZ 86305-7121 2006-07-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487254918 Assyrian Family Health Alliance Clinic/Center 10210 N 32nd St Ste C6, Phoenix, AZ 85028-3826 2020-10-26
1659970242 Orthopedic Specialists of North America Pllc Clinic/Center 33300 N 32nd Ave, Phoenix, AZ 85085-8877 2020-10-23
1689273542 Orthopedic Specialists of North America Pllc Clinic/Center 33400 N 32nd Ave Fl 1, Phoenix, AZ 85085-8876 2020-10-21
1629676317 Bethel Hills Integrated Healthcare Clinic/Center 13838 S 46th Pl Ste 300, Phoenix, AZ 85044-7804 2020-10-14
1639786585 Crossover Health Medical Group Clinic/Center 1847 E Southern Ave Ste 3, Tempe, AZ 85282-5881 2020-09-24
1821605775 Crossover Health Medical Group Clinic/Center 5251 W Campbell Ave Ste 200, Phoenix, AZ 85031-1719 2020-09-24
1649887597 Crossover Health Medical Group Clinic/Center 8343 W Van Buren St Bldg C-2, Tolleson, AZ 85353-3225 2020-09-24
1235745464 Vasco Healthcare Inc Clinic/Center 2110 W 24th St Ste A, Yuma, AZ 85364-8878 2020-09-22
1265048490 Vasco Healthcare Inc Clinic/Center 8952 E Desert Cove Ave Ste 204, Scottsdale, AZ 85260-6777 2020-09-22
1942816160 Vasco Healthcare Inc Clinic/Center 13026 W Rancho Santa Fe Blvd Ste B100, Avondale, AZ 85392-1712 2020-09-22
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Competitor

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City PRESCOTT
Zip Code 86305

Improve Information

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Dataset Information

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.

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