NPIMap

Organization Active NPI

Phoenician Medical Center Inc

  • Rural Health Clinic/Center
  • Sedona, AZ
National Provider Identifier
1104606300
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PHOENICIAN MEDICAL CENTER INC
Practice address
95 Soldiers Pass Rd Ste B2
Sedona, AZ 86336-4712
Phone
(480) 963-1853
Fax
(480) 963-1854
NPI assigned
Oct 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Anupam Ahlawat
Title
Coo
Phone
(480) 444-7447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

95 Soldiers Pass Rd Ste B2
Sedona, AZ 86336-4712

Mailing address

1343 N Alma School Rd Ste 160
Chandler, AZ 85224-5901
Phone (928) 862-2802

Other names 1

  • Verde Community Healthcare Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2329613Phoenician Medical Center Inc95 Soldiers Pass B2, Sedona, AZ 86336Certificate of waiverSep 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Robert E Bell DO19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1104606300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N ALMA SCHOOL RD STE 160",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245901",
            "telephone_number": "928-862-2802",
            "fax_number": "928-862-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SOLDIERS PASS RD STE B2",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364712",
            "telephone_number": "480-963-1853",
            "fax_number": "480-963-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENICIAN MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "AHLAWAT",
        "authorized_official_first_name": "ANUPAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-444-7447"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Verde Community Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.