High Desert Delivery, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

HIGH DESERT DELIVERY, LLC

Practice address

8671 E Spouse Dr
Prescott Valley, AZ 86314-6233

Phone

(928) 775-6284

Fax

(928) 775-6919

NPI assigned

Jan 20, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Jody Beth Gonzalez

Title

Insurance Specialist

Phone

(928) 775-6284

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1548627664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8671 E SPOUSE DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863146233",
            "telephone_number": "928-775-6284",
            "fax_number": "928-775-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8671 E SPOUSE DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863146233",
            "telephone_number": "928-775-6284",
            "fax_number": "928-775-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT DELIVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "928-775-6284",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.