Organization Active NPI

Yuma Heart Instititute LLC

  • Specialist
  • Yuma, AZ
National Provider Identifier
1518990902
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
YUMA HEART INSTITITUTE LLC
Practice address
2503 S Ave a
Suite #2
Yuma, AZ 85364
Phone
(928) 344-3350
Fax
(928) 344-2270
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Clarence W Clark, M.D.
Title
Delegated Official
Phone
(928) 344-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2503 S Ave a
Suite #2
Yuma, AZ 85364

Mailing address

2503 S Avenue a
Suite #2
Yuma, AZ 85364
Phone (928) 344-3350

National Provider Directory

National Provider Directory

Locations

1025 W 24th St
Ste 27
Yuma, AZ 85364
Phone (928) 341-4533

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1518990902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 S AVENUE A",
            "address_2": "SUITE #2",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-344-3350",
            "fax_number": "928-344-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 S AVE A",
            "address_2": "SUITE #2",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-344-3350",
            "fax_number": "928-344-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA HEART INSTITITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "928-344-3350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.