NPIMap

Organization Active NPI

Mojave Family Urgent Care

  • Urgent Care Clinic/Center
  • Fort Mohave, AZ
National Provider Identifier
1336474592
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OTC4517 Issued in AZ
Legal business name
MOJAVE FAMILY URGENT CARE
Practice address
5300 S Highway 95 Ste a
Fort Mohave, AZ 86426-9251
Phone
(928) 768-7175
Fax
(928) 768-7247
NPI assigned
Oct 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Dr. William Brian Womack, D.O.
Title
Owner
Phone
(928) 768-9496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OTC4517 AZ Primary

Addresses

Primary practice location

5300 S Highway 95 Ste a
Fort Mohave, AZ 86426-9251

Mailing address

5300 S Highway 95 Ste a
Fort Mohave, AZ 86426-9251
Phone (928) 768-7175

Other names 1

  • Mojave Family Healthcare and Urgent Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1336474592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S HIGHWAY 95 STE A",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269251",
            "telephone_number": "928-768-7175",
            "fax_number": "928-768-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S HIGHWAY 95 STE A",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269251",
            "telephone_number": "928-768-7175",
            "fax_number": "928-768-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOJAVE FAMILY URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-768-9496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC4517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mojave Family Healthcare and Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Mohave, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.