Organization Active NPI

Arizona Family Care Associates Imaging LLC

  • Radiology Clinic/Center
  • Sierra Vista, AZ
National Provider Identifier
1578874533
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ARIZONA FAMILY CARE ASSOCIATES IMAGING LLC
Practice address
302 El Camino Real
Suite 11F
Sierra Vista, AZ 85635-2860
Phone
(520) 417-4318
Fax
(520) 417-4279
NPI assigned
Jun 24, 2010
Organization subpart
Yes
Parent organization
ARIZONA FAMILY CARE ASSOCIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Fred B Williams, ED.D.
Title
Ceo
Phone
(520) 458-4335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

302 El Camino Real
Suite 11F
Sierra Vista, AZ 85635-2860

Mailing address

6 S 2ND St
Sierra Vista, AZ 85635-1830
Phone (520) 458-4335

National Provider Directory

National Provider Directory
Part of
Arizona Family Care Ass

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

302 El Camino Real
Ste 11F
Sierra Vista, AZ 85635
Phone (520) 417-4318

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1578874533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S 2ND ST",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351830",
            "telephone_number": "520-458-4335",
            "fax_number": "520-458-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 EL CAMINO REAL",
            "address_2": "SUITE 11F",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352860",
            "telephone_number": "520-417-4318",
            "fax_number": "520-417-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA FAMILY CARE ASSOCIATES IMAGING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA FAMILY CARE ASSOCIATES, INC.",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-458-4335",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.