Internal Medicine Specialists of Prescott Valley Arizona,PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

2772 Issued in AZ

Legal business name

INTERNAL MEDICINE SPECIALISTS OF PRESCOTT VALLEY ARIZONA,PC

Practice address

3223 N Windsong Dr
Prescott Valley, AZ 86314-1222

Phone

(928) 772-1845

Fax

(928) 772-1844

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Harry Lavern Gale, DONPI 1194825828

Title

President

Phone

(928) 772-1845

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harry Lavern Gale II, DO

  • Internal Medicine Physician
  • Cottonwood, AZ
  • NPI 1194825828
  NPD Authorized official

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1558548487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141222",
            "telephone_number": "928-772-1845",
            "fax_number": "928-772-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141222",
            "telephone_number": "928-772-1845",
            "fax_number": "928-772-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE SPECIALISTS OF PRESCOTT VALLEY ARIZONA,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "GALE",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "LAVERN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-772-1845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": "2772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rondell K Huttmann, PHARMD
• Jane Miller Hynes
• Icare Health Services LLC
• Integrative Pain Centres of Prescott
• Integrative Pain Centres of Prescott
• Krista Iverson, RN
• Lauraine M Jackson, FNP-BC
• Samantha Jacobson, PSYD
• Kavita Devi Jaikaran, DNP
• Karen M Jamison, NP

• 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 Feb 22, 2008; 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.