NPIMap

Organization Active NPI

Oracle Healthcare

  • Family Medicine Physician
  • Camp Verde, AZ
National Provider Identifier
1396900122
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ORACLE HEALTHCARE
Practice address
348 S Main St
Ste 1
Camp Verde, AZ 86322-7155
Phone
(928) 649-6477
Fax
(928) 649-2719
NPI assigned
Jul 21, 2008
Last updated
Nov 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Heather Petersen
Title
Administrator
Phone
(928) 649-6477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

348 S Main St
Ste 1
Camp Verde, AZ 86322-7155

Mailing address

PO Box 1270
Clarkdale, AZ 86324-1270
Phone (928) 649-6477

National Provider Directory

National Provider Directory

Locations

348 S Main St
Ste 1
Camp Verde, AZ 86322
Phone (928) 649-6477

Practitioners & affiliated clinicians

Practitioners 7

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": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1396900122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1270",
            "city": "CLARKDALE",
            "state": "AZ",
            "postal_code": "863241270",
            "telephone_number": "928-649-6477",
            "fax_number": "928-649-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 S MAIN ST",
            "address_2": "STE 1",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227155",
            "telephone_number": "928-649-6477",
            "fax_number": "928-649-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORACLE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-649-6477"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Verde, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.