Organization Active NPI

Davis Medical Center

  • Clinic/Center
  • Cottonwood, AZ
National Provider Identifier
1427060896
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2222 Issued in AZ
Legal business name
DAVIS MEDICAL CENTER
Practice address
55 S 6TH St
Cottonwood, AZ 86326-4237
Phone
(928) 634-5118
Fax
(928) 634-8522
NPI assigned
Aug 13, 2006
Last updated
Jan 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Paul H Quintero
Title
Manager
Phone
(928) 634-5118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2222 AZ Primary

Addresses

Primary practice location

55 S 6TH St
Cottonwood, AZ 86326-4237

Mailing address

55 S 6TH St
Cottonwood, AZ 86326-4237
Phone (928) 634-5118

Other identifiers 3

IdentifierTypeStateIssuer
50083893OtherAZMEDICARE RAILROAD
AZ0897350OtherAZBCBS
294504MedicaidAZ

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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1427060896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S 6TH ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264237",
            "telephone_number": "928-634-5118",
            "fax_number": "928-634-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S 6TH ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264237",
            "telephone_number": "928-634-5118",
            "fax_number": "928-634-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-634-5118"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "2222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "50083893",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0897350",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294504",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.