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MT GRAHAM REGIONAL MEDICAL CENTER INC NPI 1770549974


NPI Information

NPI: 1770549974
Provider Name: MT GRAHAM REGIONAL MEDICAL CENTER INC

Other Name: MT. GRAHAM REGIONAL MEDICAL CENTER HOSPICE SERVICES

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
1600 S. 20TH AVE
BLDG. E
SAFFORD, AZ
ZIP 85546
Phone: (928) 348-4063
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MT GRAHAM REGIONAL MEDICAL CENTER INC is a hospice care community based in Safford, AZ. MT GRAHAM REGIONAL MEDICAL CENTER INC NPI is 1770549974. The provider is registered as an organization entity type.
The provider Other Name Is Mt. Graham Regional Medical Center Hospice Services.

The provider's business location address is:

1600 S. 20TH AVE
BLDG. E
SAFFORD, AZ
ZIP 85546
Phone: (928) 348-4063
Fax: (928) 348-3868

The provider's authorized official is Keith Bryce .
The authorized official title is Cfo and has the following contact phone number (928) 348-4099.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 9/27/2016.


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 License Number License State Primary
1251G00000XHospice Care, Community BasedHSPC-43ARIZONAYes

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
1HSPC-43OTHERARIZONAADHS NUMBER
2317786MEDICAIDARIZONA
303D0886073OTHERARIZONACLIA NUMBER
4031522MEDICARE OSCAR/CERTIFICATIONARIZONA

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
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