NPIMap

Organization Active NPI

Verde Valley Connection Primary Care PLC

  • Internal Medicine Physician
  • Cottonwood, AZ
National Provider Identifier
1043454242
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VERDE VALLEY CONNECTION PRIMARY CARE PLC
Practice address
8 E Cottonwood St BLDG C
Cottonwood, AZ 86326-4382
Phone
(928) 203-5400
Fax
(928) 634-2841
NPI assigned
May 1, 2009
Last updated
Jun 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Lance Fisher, PA-C
Title
Member
Phone
(928) 634-2574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

8 E Cottonwood St BLDG C
Cottonwood, AZ 86326-4382

Mailing address

8 E Cottonwood St BLDG C
Cottonwood, AZ 86326-4382
Phone (928) 203-5400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1043454242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E COTTONWOOD ST BLDG C",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264382",
            "telephone_number": "928-203-5400",
            "fax_number": "928-634-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E COTTONWOOD ST BLDG C",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264382",
            "telephone_number": "928-203-5400",
            "fax_number": "928-634-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDE VALLEY CONNECTION PRIMARY CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-634-2574",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.