Active NPI
Greenlee County
- State or Local Public Health Clinic/Center
- Clifton, AZ
National Provider Identifier
1730310046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- License
- OTC0267
- Legal business name
- GREENLEE COUNTY
- Practice address
- 253 5TH Street
Clifton, AZ 85533-0936 - Phone
- (928) 865-2601
- Fax
- (928) 865-1929
- NPI assigned
- Aug 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darren C Sanders
- Title
- Deputy Director Health and County
- Phone
- (928) 865-2601
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Family Planning Facility | 261QA0005X | OTC0267 | AZ | |
| State or Local Public Health Clinic/Center | 261QP0905X | OTC0267 | AZ | Primary |
| Prison Health Clinic/Center | 261QP2400X | OTC0267 | AZ |
Addresses
Primary practice location
253 5TH Street
Clifton, AZ 85533-0936
Mailing address
PO Box 936
253 5TH Street
Clifton, AZ 85533-0936
Phone (928) 865-2601
Other names 1
- Greenlee Health and County Services
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0667776 | Greenlee County Health Department | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- County of Greenlee
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Morenci, AZ
- NPI 1891785929
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Clifton, AZ
- NPI 1457944621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249344000000",
"number": "1730310046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"address_2": "253 5TH STREET",
"city": "CLIFTON",
"state": "AZ",
"postal_code": "855330936",
"telephone_number": "928-865-2601",
"fax_number": "928-865-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 5TH STREET",
"city": "CLIFTON",
"state": "AZ",
"postal_code": "855330936",
"telephone_number": "928-865-2601",
"fax_number": "928-865-1929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENLEE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-04",
"last_updated": "2009-08-04",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "DARREN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DEPUTY DIRECTOR HEALTH AND COUNTY",
"authorized_official_telephone_number": "928-865-2601",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0005X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Family Planning Facility",
"state": "AZ",
"license": "OTC0267",
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": "AZ",
"license": "OTC0267",
"primary": true
},
{
"code": "261QP2400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Prison Health",
"state": "AZ",
"license": "OTC0267",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Greenlee Health and County Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clifton, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.