Organization Active NPI

Greenlee County

  • State or Local Public Health Clinic/Center
  • Clifton, AZ
National Provider Identifier
1730310046
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
OTC0267 Issued in AZ
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

Updated by the provider on Aug 4, 2009

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)CodeLicenseStatePrimary
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 Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0667776Greenlee County Health Department253 5TH St, Clifton, AZ 85533Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
County of Greenlee2 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.

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": "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.

Verify at the official NPI Registry.