Organization Active NPI

Graham County RC

  • Developmentally Disabled Services Day Training Agency
  • Safford, AZ
National Provider Identifier
1093818270
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GRAHAM COUNTY RC
Practice address
504 W Main St
Safford, AZ 85546-2727
Phone
(928) 428-7968
NPI assigned
Sep 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kay Matlock
Title
Program Director
Phone
(928) 428-7968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

504 W Main St
Safford, AZ 85546-2727

Mailing address

PO Box 870
Safford, AZ 85548-0870
Phone (928) 428-7968

National Provider Directory

National Provider Directory
Tax ID family
Graham County RC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

504 W Main St
Safford, AZ 85546
Phone (928) 428-7968

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093818270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855480870",
            "telephone_number": "928-428-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W MAIN ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462727",
            "telephone_number": "928-428-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM COUNTY RC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATLOCK",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "928-428-7968"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.