Active NPI
County of Mohave
- Public Health or Welfare Agency
- Bullhead City, AZ
National Provider Identifier
1407090418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- OTC3464
- Legal business name
- COUNTY OF MOHAVE
- Practice address
- 1222 Hancock Rd
Bullhead City, AZ 86442-5906 - Phone
- (928) 758-0703
- Fax
- (928) 758-0719
- NPI assigned
- Apr 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Melissa Palmer, M.ADM, BS, MCHES
- Title
- Health Director
- Phone
- (928) 753-0748
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | OTC3464 | AZ | Primary |
Addresses
Primary practice location
1222 Hancock Rd
Bullhead City, AZ 86442-5906
Mailing address
700 W Beale St
Kingman, AZ 86401-5711
Phone (928) 753-0714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040714001427 | AZ | Part B Supplier - Mass Immunization (Roster Biller Only) | 2163401126 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bullhead City, AZ; Lake Havasu City, AZ; Colorado City, AZ; Kingman, AZ |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Public Health or Welfare Agency
- Lake Havasu City, AZ
- NPI 1922242833
O20040714001427
National Provider Directory
National Provider Directory- Tax ID family
- County of Mohave
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Colorado City, AZ
- NPI 1609010511
-
- Public Health or Welfare Agency
- Kingman, AZ
- NPI 1740326727
-
- Public Health or Welfare Agency
- Lake Havasu City, AZ
- NPI 1922242833
Locations
1222 Hancock Rd
Bullhead City, AZ 86442
Phone (928) 758-0703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1407090418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W BEALE ST",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864015711",
"telephone_number": "928-753-0714",
"fax_number": "928-753-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 HANCOCK RD",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864425906",
"telephone_number": "928-758-0703",
"fax_number": "928-758-0719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF MOHAVE",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-22",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "PALMER",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "HEALTH DIRECTOR",
"authorized_official_telephone_number": "928-753-0748",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.ADM, BS, MCHES"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "AZ",
"license": "OTC3464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.