Organization Active NPI

Cherry Family Practice, PLC

  • Primary Care Clinic/Center
  • Cottonwood, AZ
National Provider Identifier
1558413781
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2919AZ Issued in AZ
Legal business name
CHERRY FAMILY PRACTICE, PLC
Practice address
411 S 14TH St
Cottonwood, AZ 86326-3478
Phone
(928) 634-2574
Fax
(928) 634-2841
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott D Bingham, D.O.
Title
Medical Director
Phone
(602) 228-6242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 2919AZ AZ Primary

Addresses

Primary practice location

411 S 14TH St
Cottonwood, AZ 86326-3478

Mailing address

411 S 14TH St
PO Box 1860
Cottonwood, AZ 86326-3478
Phone (928) 634-2574

National Provider Directory

National Provider Directory

Locations

411 S 14th St
Cottonwood, AZ 86326
Phone (928) 634-1304

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558413781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S 14TH ST",
            "address_2": "PO BOX 1860",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263478",
            "telephone_number": "928-634-2574",
            "fax_number": "928-634-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S 14TH ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263478",
            "telephone_number": "928-634-2574",
            "fax_number": "928-634-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY FAMILY PRACTICE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "602-228-6242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "2919AZ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.