Organization Active NPI

Az Family Care Assoc Inc

  • Durable Medical Equipment & Medical Supplies
  • Sierra Vista, AZ
National Provider Identifier
1730358078
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AZ FAMILY CARE ASSOC INC
Practice address
302 El Camino Real
Sierra Vista, AZ 85635
Phone
(520) 458-4335
Fax
(520) 458-2988
NPI assigned
Feb 20, 2008
Last updated
Sep 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Dr. Fred B Williams, ED. D
Title
Ceo
Phone
(520) 458-4335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

302 El Camino Real
Sierra Vista, AZ 85635

Mailing address

6 S. 2ND St.
Sierra Vista, AZ 85635-1830
Phone (520) 458-4335

National Provider Directory

National Provider Directory

Locations

302 El Camino Real
Ste 5
Sierra Vista, AZ 85635
Phone (520) 364-7544

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1730358078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S. 2ND ST.",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351830",
            "telephone_number": "520-458-4335",
            "fax_number": "520-458-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 EL CAMINO REAL",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-458-4335",
            "fax_number": "520-458-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ FAMILY CARE ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-458-4335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED. D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.