Organization Active NPI

Bellwether Ranch Foundation

  • Foster Care Agency
  • Williams, AZ
National Provider Identifier
1104172865
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
BELLWETHER RANCH FOUNDATION
Practice address
402 E Route 66
Williams, AZ 86046-2702
Phone
(928) 699-9155
Fax
(928) 222-2096
NPI assigned
Jul 31, 2012
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Sherrian D. Bloomquist, RN
Title
Owner / Director
Phone
(928) 699-9155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X AZ
Foster Care Agency 253J00000X AZ Primary

Addresses

Primary practice location

402 E Route 66
Williams, AZ 86046-2702

Mailing address

11256 W Bright Sky TRL
Williams, AZ 86046-7577
Phone (928) 699-9155

National Provider Directory

National Provider Directory

Locations

402 E Route 66
Williams, AZ 86046
Phone (928) 699-9155

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1104172865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11256 W BRIGHT SKY TRL",
            "city": "WILLIAMS",
            "state": "AZ",
            "postal_code": "860467577",
            "telephone_number": "928-699-9155",
            "fax_number": "928-222-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E ROUTE 66",
            "city": "WILLIAMS",
            "state": "AZ",
            "postal_code": "860462702",
            "telephone_number": "928-699-9155",
            "fax_number": "928-222-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLWETHER RANCH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "BLOOMQUIST",
        "authorized_official_first_name": "SHERRIAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "928-699-9155",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williams, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.