PR Acquisition Corporation

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PR ACQUISITION CORPORATION

Practice address

2000 Hiway 95
Ste 110
Bullhead City, AZ 86442-6050

Phone

(928) 763-6376

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Michael Tarvin

Title

Vice President

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1609845486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HIWAY 95",
            "address_2": "STE 110",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426050",
            "telephone_number": "928-763-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HIWAY 95",
            "address_2": "STE 110",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426050",
            "telephone_number": "928-763-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR ACQUISITION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haleigh Piotrowski, PA-C
• Polly'S Chiropractic, P.C.
• Michelle Pompos, LMSW
• Peter David Pourzand, CRNP, MBA
• Lisa Gail Powell, NP
• Channa B Prasad, M.D.
• Prescott Healthcare Solutions LLC
• Prescott Healthcare Solutions LLC
• Derek Patrick Price, D.C.
• Tyler Primavera, D.O.

• Rehabilitation Clinic/Center in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.