Organization Active NPI

Cottonwood Internal Medicine PC

  • Internal Medicine Physician
  • Cottonwood, AZ
National Provider Identifier
1295834604
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COTTONWOOD INTERNAL MEDICINE PC
Practice address
450 S Willard St
Ste 103
Cottonwood, AZ 86326
Phone
(928) 634-4231
Fax
(928) 634-7867
NPI assigned
Sep 22, 2006
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
Valerie Avis Falbo
Title
Practice Manager
Phone
(928) 634-2692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

450 S Willard St
Ste 103
Cottonwood, AZ 86326

Mailing address

PO Box 2019
Cottonwood, AZ 86326
Phone (928) 634-4231

National Provider Directory

National Provider Directory

Locations

450 S Willard St
Ste 10
Cottonwood, AZ 86326
Phone (928) 634-4231

450 S Willard St
Ste 103
Cottonwood, AZ 86326
Phone (928) 634-4231

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295834604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2019",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "86326",
            "telephone_number": "928-634-4231",
            "fax_number": "928-634-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S WILLARD ST",
            "address_2": "STE 103",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "86326",
            "telephone_number": "928-634-4231",
            "fax_number": "928-634-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FALBO",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "AVIS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "928-634-2692"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, 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.