Active NPI
Mt Graham Regional Medical Center Inc
- Home Health Agency
- Safford, AZ
National Provider Identifier
1003174715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA-210
- Legal business name
- MT GRAHAM REGIONAL MEDICAL CENTER INC
- Doing business as
- MT GRAHAM HOME HEALTH
- Practice address
- 1600 S 20TH Ave BLDG E
Safford, AZ 85546-4011 - Phone
- (928) 428-5668
- Fax
- (928) 348-3868
- NPI assigned
- May 1, 2012
- Organization subpart
- Yes
- Parent organization
- MT GRAHAM REGIONAL MEDICAL CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jill Denice Heinrich, RN,BSN
- Title
- Administrator
- Phone
- (928) 428-5668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA-210 | AZ | Primary |
Addresses
Primary practice location
1600 S 20TH Ave BLDG E
Safford, AZ 85546-4011
Mailing address
1600 S 20TH Ave BLDG E
Safford, AZ 85546-4011
Phone (928) 348-5668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 317786 | Medicaid | AZ |
Other names 1
- MT GRAHAM HOME HEALTH
National Provider Directory
National Provider Directory- Part of
- Mt Graham Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336003200000",
"number": "1003174715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S 20TH AVE BLDG E",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855464011",
"telephone_number": "928-348-5668",
"fax_number": "928-348-3868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S 20TH AVE BLDG E",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855464011",
"telephone_number": "928-428-5668",
"fax_number": "928-348-3868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MT GRAHAM REGIONAL MEDICAL CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MT GRAHAM REGIONAL MEDICAL CENTER INC",
"enumeration_date": "2012-05-01",
"last_updated": "2012-05-03",
"status": "A",
"authorized_official_last_name": "HEINRICH",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "DENICE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "928-428-5668",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN,BSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": "HHA-210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "317786",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MT GRAHAM HOME HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Safford, AZ
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- Mt Graham Regional Medical Center Inc
- Mt Graham Regional Medical Center Inc
- Mt Graham Regional Medical Center Inc
- Mt Graham Regional Medical Center Inc
- Mt Graham Regional Medical Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.