Organization Active NPI

Your Health Clinic, PLLC

  • Primary Care Clinic/Center
  • Prescott, AZ
National Provider Identifier
1477857159
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
RN-098748 Issued in AZ
Legal business name
YOUR HEALTH CLINIC, PLLC
Practice address
724 N Montezuma St Ste a
Prescott, AZ 86301-2066
Phone
(928) 778-1566
Fax
(928) 778-1366
NPI assigned
Jan 10, 2011
Last updated
Feb 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Peggy Ann Towles, FNP-C
Title
Owner
Phone
(928) 778-1566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X RN-098748 AZ Primary

Addresses

Primary practice location

724 N Montezuma St Ste a
Prescott, AZ 86301-2066

Mailing address

724 N Montezuma St Ste a
Prescott, AZ 86301-2066
Phone (928) 778-1566

National Provider Directory

National Provider Directory

Locations

724 N Montezuma St
Ste A
Prescott, AZ 86301
Phone (928) 308-3569

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1477857159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 N MONTEZUMA ST STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012066",
            "telephone_number": "928-778-1566",
            "fax_number": "928-778-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 N MONTEZUMA ST STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012066",
            "telephone_number": "928-778-1566",
            "fax_number": "928-778-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HEALTH CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "TOWLES",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-778-1566",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "RN-098748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.