Careatc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CAREATC

Practice address

3000 W Old Highway 66
Kingman, AZ 86413-8332

Phone

(928) 222-7210

Fax

(928) 224-7211

NPI assigned

Nov 14, 2024

Organization subpart

Yes

Parent organization

CAREATCAs reported in NPPES

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

Authorized official

Name

Kelly Bender

Title

Sr. Director, Data and Analytics

Phone

(918) 779-7475

Specialties & licenses 1

Addresses

Other names 1

• CareATC Nucor Kingman Other name

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

CLIA laboratory certificates

Tax ID family

Careatc - Indiana Packers Health Center117 organizations share this tax ID, including this one

Part of

Careatc - Indiana Packers Health Center

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Careatc

  • Primary Care Clinic/Center
  • Tucson, AZ
  • NPI 1134770803
  NPD tax ID
• Careatc

  • Primary Care Clinic/Center
  • Avondale, AZ
  • NPI 1881245546
  NPD tax ID
• Careatc

  • Primary Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1922659325
  NPD tax ID
• Careatc - Chandler

  • Primary Care Clinic/Center
  • Chandler, AZ
  • NPI 1699229013
  NPD tax ID
• Careatc-Avondale

  • Primary Care Clinic/Center
  • Avondale, AZ
  • NPI 1811449424
  NPD tax ID
• Careatc-Phoenix

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1659823235
  NPD tax ID
• Careatc-Talking Stick

  • Primary Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1518419134
  NPD tax ID

Locations

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1205650355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S 129TH EAST AVE STE 191",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741345891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W OLD HIGHWAY 66",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864138332",
            "telephone_number": "928-222-7210",
            "fax_number": "928-224-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREATC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREATC",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "SR. DIRECTOR, DATA AND ANALYTICS",
        "authorized_official_telephone_number": "918-779-7475"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareATC Nucor Kingman",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jason Jon Burris, MS, LISAC
• Valori Beth Cable, DNP, RN, FNP-BC
• Tiffany Callahan
• Efren Ricardo Cano, D.O.
• Peyton Matthew Cardiff, DPT
• Carepro LLC
• Bryan Patrick Carley, AGACNP-BC
• Bryan K Carlson, DMD
• Carman & Co., P.C.
• Mark C Carter, M.D.

• Clinic/Center in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.