Active NPI
Graham County RC
- Developmentally Disabled Services Day Training Agency
- Safford, AZ
National Provider Identifier
1093818270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 RC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Safford, AZ
- NPI 1760517312
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.