Southwestern Medical Centers Inc - Az

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

OTC 4666 Issued in AZ

Legal business name

SOUTHWESTERN MEDICAL CENTERS INC - AZ

Doing business as

Thumb Butte Outpatient Rehab Clinic

Practice address

864 Dougherty St
Prescott, AZ 86305-1841

Phone

(928) 778-9666

NPI assigned

Sep 22, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Mark Wesley Hudson

Title

V.P. of Operations

Phone

(210) 828-5686

Specialties & licenses 1

Addresses

Other names 1

• Thumb Butte Outpatient Rehab Clinic Doing business as

Tax ID family

Peppertree Assisted Living Apartments2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southwestern Medical Centers-Az, Inc.

  • Assisted Living Facility
  • Prescott, AZ
  • NPI 1770664641
  NPD tax ID

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1700110988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 NE LOOP 410",
            "address_2": "SUITE 640",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091204",
            "telephone_number": "210-828-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 DOUGHERTY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051841",
            "telephone_number": "928-778-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN MEDICAL CENTERS INC - AZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "V.P. OF OPERATIONS",
        "authorized_official_telephone_number": "210-828-5686",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "OTC 4666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thumb Butte Outpatient Rehab Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Skin & Cancer Institute LTD
• Southwest Surgery of Yavapai County, PC
• Southwestern Eye Center LTD
• Southwestern Eye Center, LTD
• Southwestern Medical Centers Az
• Southwestern Medical Centers-Az, Inc.
• Marcia Sovey, RN
• Daryl Sparks, PSY.D.
• Spartan Recovery Life LLC
• Susan Elaine Spear, N.P.

• Physical Therapy Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.