Active NPI
Desert Family Health Care LLC
- Community Health Clinic/Center
- Camp Verde, AZ
National Provider Identifier
1487791083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- RN 114868 AP 2200
- 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, 2023
- 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. Laura D Hanson, M.S. F.N.P.
- Title
- Managing Member
- Phone
- (928) 451-6559
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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": []
}
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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.