Organization Active NPI

Call's Community Clinic, LLC

  • Family Nurse Practitioner
  • Taylor, AZ
National Provider Identifier
1396444345
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CALL'S COMMUNITY CLINIC, LLC
Practice address
815 Main Street Suite D
Taylor, AZ 85939
Phone
(928) 536-4322
Fax
(928) 536-2395
NPI assigned
Feb 28, 2023
Last updated
Feb 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Jordan Dale Call, PHARM. D.NPI 1497130173
Title
Owner
Phone
(928) 536-4322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

815 Main Street Suite D
Taylor, AZ 85939

Mailing address

PO Box 246
Snowflake, AZ 85937
Phone (928) 536-4322

Other identifiers 1

IdentifierTypeStateIssuer
546187MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1396444345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "85937",
            "telephone_number": "928-536-4322",
            "fax_number": "928-536-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 MAIN STREET SUITE D",
            "city": "TAYLOR",
            "state": "AZ",
            "postal_code": "85939",
            "telephone_number": "928-536-4322",
            "fax_number": "928-536-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALL'S COMMUNITY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "CALL",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-536-4322",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "546187",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.