Graham County Rehabilitation Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

CSA01CP0001 Issued in AZ

Legal business name

GRAHAM COUNTY REHABILITATION CENTER

Practice address

502 W Main St
Safford, AZ 85546-2727

Phone

(928) 428-7968

Fax

(928) 428-8766

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jeaninne Whitmer

Title

Board President

Phone

(928) 428-7968

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Graham County RC2 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.

• Graham County RC

  • Developmentally Disabled Services Day Training Agency
  • Safford, AZ
  • NPI 1093818270
  NPD tax ID

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760517312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W MAIN ST",
            "address_2": "POB 807",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462727",
            "telephone_number": "928-428-7968",
            "fax_number": "928-428-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W MAIN ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462727",
            "telephone_number": "928-428-7968",
            "fax_number": "928-428-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM COUNTY REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITMER",
        "authorized_official_first_name": "JEANINNE",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "928-428-7968",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AZ",
            "license": "CSA01CP0001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS #",
            "identifier": "622961",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trina S Gomm, NP
• Joshua Goodman, PHARMD
• Graham County (Graham County Health Department)
• Graham County Health Department
• Graham County RC
• Graham House LLC
• Gregg P Standage MD
• Kristopher Franz Gruber, PA-C
• Guardian Flight LLC
• Gail D Guerrero-Tucker, M.D.

• Developmentally Disabled Services Day Training Agency in Safford, AZ
• Providers in Safford, AZ by specialty
• Developmentally Disabled Services Day Training Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.