SIERRA VISTA REGIONAL HEALTH CENTER MEDICAL GROUP LLC NPI 1043575483

NPI Information

NPI: 1043575483
Provider Name: SIERRA VISTA REGIONAL HEALTH CENTER MEDICAL GROUP LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5750 E HIGHWAY 90
SUITE 200
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 263-3979
Get Directions

SIERRA VISTA REGIONAL HEALTH CENTER MEDICAL GROUP LLC is a family medicine in Sierra Vista, AZ. The provider is 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. SIERRA VISTA REGIONAL HEALTH CENTER MEDICAL GROUP LLC NPI is 1043575483. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5750 E HIGHWAY 90
SUITE 200
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 263-3979
Fax: (520) 263-3977

The provider's authorized official is Monic Bowman .
The authorized official title is President and has the following contact phone number (615) 920-7000.

The enumeration date for this NPI number is 7/11/2012 and was last updated on 10/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	No
3	207V00000X	Obstetrics & Gynecology		No
4	207X00000X	Orthopaedic Surgery		No
5	208000000X	Pediatrics		No
6	2084P0800X	Psychiatry & Neurology	Psychiatry	No
7	208600000X	Surgery		No
8	213E00000X	Podiatrist		No
9	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	724470	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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