Organization Active NPI

Parker Medical Center, LTD

  • Rural Health Clinic/Center
  • Parker, AZ
National Provider Identifier
1720433832
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
033836 Issued in AZ
Legal business name
PARKER MEDICAL CENTER, LTD
Practice address
905 S Fiesta Ave
Parker, AZ 85344-5152
Phone
(928) 669-2225
Fax
(928) 669-6751
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Mrs. Robyn Renee Anderson
Title
Medical Biller
Phone
(928) 279-4802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 033836 AZ Primary

Addresses

Primary practice location

905 S Fiesta Ave
Parker, AZ 85344-5152

Mailing address

905 S Fiesta Ave
Parker, AZ 85344-5152
Phone (928) 669-2225

Other identifiers 1

IdentifierTypeStateIssuer
033836OtherAZMEDICARE RURAL HEALTH

National Provider Directory

National Provider Directory

Locations

905 S Fiesta Ave
Parker, AZ 85344
Phone (928) 669-2225

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1720433832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S FIESTA AVE",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853445152",
            "telephone_number": "928-669-2225",
            "fax_number": "928-669-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S FIESTA AVE",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853445152",
            "telephone_number": "928-669-2225",
            "fax_number": "928-669-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER MEDICAL CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "928-279-4802",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AZ",
            "license": "033836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RURAL HEALTH",
            "identifier": "033836",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.