NPIMap

Organization Active NPI

Arizona Grand Medical Center

Doing business as Prescott Health and Wellness

  • Specialist
  • Prescott, AZ
National Provider Identifier
1578766655
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ARIZONA GRAND MEDICAL CENTER
Doing business as
Prescott Health and Wellness
Practice address
1590 Willow Creek Rd
Prescott, AZ 86301-1141
Phone
(928) 771-9314
NPI assigned
Jun 7, 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
Ms. Satty Bhowra
Title
Practice Manager
Phone
(602) 200-8988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1590 Willow Creek Rd
Prescott, AZ 86301-1141

Mailing address

PO Box 47729
Phoenix, AZ 85068
Phone (602) 200-8988

Other names 1

  • PRESCOTT HEALTH AND WELLNESS Doing business as

National Provider Directory

National Provider Directory

Locations

3777 Crossings Dr
Prescott, AZ 86305
Phone (928) 771-3793

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578766655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47729",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85068",
            "telephone_number": "602-200-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011141",
            "telephone_number": "928-771-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA GRAND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHOWRA",
        "authorized_official_first_name": "SATTY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "602-200-8988",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESCOTT HEALTH AND WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, 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.