Organization Active NPI

Desert Family Health Care LLC

  • Community Health Clinic/Center
  • Camp Verde, AZ
National Provider Identifier
1487791083
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
RN 114868 AP 2200 Issued in AZ
Legal business name
DESERT FAMILY HEALTH CARE LLC
Practice address
765 W Azure Dr
Camp Verde, AZ 86322-4945
Phone
(928) 451-6559
NPI assigned
Jan 31, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Laura D Hanson, M.S. F.N.P.
Title
Managing Member
Phone
(928) 451-6559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X RN 114868 AP 2200 AZ Primary

Addresses

Primary practice location

765 W Azure Dr
Camp Verde, AZ 86322-4945

Mailing address

765 W Azure Dr
Camp Verde, AZ 86322-4945
Phone (928) 451-6559

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1487791083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 W AZURE DR",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863224945",
            "telephone_number": "928-451-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 W AZURE DR",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863224945",
            "telephone_number": "928-451-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT FAMILY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "928-451-6559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. F.N.P."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "AZ",
            "license": "RN 114868 AP 2200",
            "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 Mar 7, 2023; 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.