NPIMap

Organization Active NPI

Mt. Graham Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Safford, AZ
National Provider Identifier
1396993978
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0140 Issued in AZ
Legal business name
MT. GRAHAM REGIONAL MEDICAL CENTER, INC.
Practice address
1600 S 20TH Ave
Safford, AZ 85546-4011
Phone
(928) 348-4021
Fax
(928) 348-4018
NPI assigned
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Kathleen Louise Williams
Title
Cfo
Phone
(928) 348-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0140 AZ Primary

Addresses

Primary practice location

1600 S 20TH Ave
Safford, AZ 85546-4011

Mailing address

1600 S 20TH Ave
Safford, AZ 85546-4011
Phone (928) 348-4021

Other identifiers 2

IdentifierTypeStateIssuer
ZM03006806OtherAZMEDICARE ID
196396MedicaidAZ

Other names 1

  • Mt. Graham Regional Medical Center Profees Other name

National Provider Directory

National Provider Directory
Tax ID family
Mt Graham Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1396993978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464011",
            "telephone_number": "928-348-4021",
            "fax_number": "928-348-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464011",
            "telephone_number": "928-348-4021",
            "fax_number": "928-348-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. GRAHAM REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "928-348-4000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "H0140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZM03006806",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196396",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Graham Regional Medical Center Profees",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Safford, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.