NPIMap

Organization Active NPI

PHC-Fort Mohave Inc

Doing business as Valley View Medical Center

  • General Acute Care Hospital
  • Fort Mohave, AZ
National Provider Identifier
1811086994
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H3864 Issued in AZ
Legal business name
PHC-FORT MOHAVE INC
Doing business as
Valley View Medical Center
Practice address
5330 S Highway 95
Fort Mohave, AZ 86426-9225
Phone
(928) 788-2273
Fax
(928) 788-2273
NPI assigned
Oct 12, 2006
Last updated
Jul 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H3864 AZ Primary

Addresses

Primary practice location

5330 S Highway 95
Fort Mohave, AZ 86426-9225

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

  • Valley View Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address valleyview@yourcarecommunity.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050818001124 AZ Part A Provider - Hospital 1557391547 Practice locations: Bullhead City, AZ; Fort Mohave, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811086994. Details of each certification follow.

Hospital certification: CCN 030117

Legal name
PHC-FORT MOHAVE, INC.
Doing business as
VALLEY VIEW MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 17, 2006
Last certification
May 16, 2017
Beds
84
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Oct 11, 2002 in AZ
Enrollment address
5330 S Highway 95
Fort Mohave, AZ 86426-9225
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Valley View Medical CenterCCN 030117 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
PHC-Fort Mohave Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lifepoint Corporate Services General Partnership Organization, Brentwood, TN Operational/Managerial Control Apr 15, 2005
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Province Healthcare Company LLC Organization, Brentwood, TN For-profit 5% Or Greater Direct Ownership Interest Apr 15, 2005 100%
Blake Hubbard Individual Contracted Managing EmployeeFacility Ceo Feb 12, 2024
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Marcus B Poppell Individual Corporate OfficerSenior Vice President Apr 1, 2010
William Ziesmer Individual Corporate OfficerCfo Feb 12, 2024
Charlotte E Lawrence Individual Corporate OfficerSecretary Apr 4, 2022
Elliott Brown Individual Corporate OfficerSVP and Treasurer Apr 2, 2026
Russell a Bailey Individual Corporate OfficerPresident Feb 2, 2026
Christopher J Monte Individual Corporate OfficerVice President Jun 26, 2006
Legacy Lifepoint Health LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Apr 15, 2005 100%

Facilities with the same owner 195

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Arizona in-Home Partner-I, LLC

    dba Havasu Regional Medical Center Home Health

    • Home Health Agency
    • Lake Havasu City, AZ
    • NPI 1487190658

    Legacy Lifepoint Health LLC

    CMS ownership
  • Arizona in-Home Partner-II, LLC

    dba Valley View Home Health

    • Home Health Agency
    • Bullhead City, AZ
    • NPI 1265979033

    Legacy Lifepoint Health LLC

    CMS ownership
  • Havasu Regional Medical Center LLC

    dba Havasu Regional Medical Center

    • Rural Acute Care Hospital
    • Lake Havasu City, AZ
    • NPI 1780761866

    Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership, Province Healthcare Company LLC

    CMS ownership
  • PHC-Fort Mohave Inc

    dba Valley View Medical Center-Rehab Unit

    • Rehabilitation Hospital Unit
    • Fort Mohave, AZ
    • NPI 1538241914

    Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership, Province Healthcare Company LLC

    CMS ownership
  • Acquisition Bell Hospital LLC

    dba UP Health System Bell

    • Critical Access Hospital
    • Ishpeming, MI
    • NPI 1699101345

    Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership

    CMS ownership
  • Acquisition Bell Hospital LLC

    dba UP Health System Bell

    • Medicare Defined Swing Bed Hospital Unit
    • Ishpeming, MI
    • NPI 1760819858

    Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership

    CMS ownership
  • Amg-Crockett LLC

    dba Summertown Medical Center

    • Rural Health Clinic/Center
    • Mt Pleasant, TN
    • NPI 1255069639

    Legacy Lifepoint Health LLC

    CMS ownership
  • Amg-Crockett, LLC

    dba First Choice Health Lawrenceburg

    • Rural Health Clinic/Center
    • Lawrenceburg, TN
    • NPI 1023840998

    Legacy Lifepoint Health LLC

    CMS ownership
  • Amg-Crockett, LLC

    dba Southern Tennessee Internal Medicine - Lawrenceburg

    • Rural Health Clinic/Center
    • Lawrenceburg, TN
    • NPI 1417739640

    Legacy Lifepoint Health LLC

    CMS ownership
  • Amg-Crockett, LLC

    dba First Choice Health Loretto

    • Rural Health Clinic/Center
    • Loretto, TN
    • NPI 1811543929

    Legacy Lifepoint Health LLC

    CMS ownership
  • Amg-Crockett, LLC

    dba Women's Health Clinic

    • Rural Health Clinic/Center
    • Lawrenceburg, TN
    • NPI 1891580858

    Legacy Lifepoint Health LLC

    CMS ownership
  • Amg-Hillside LLC

    dba Southern Tennessee Family Health - Pulaski

    • Rural Health Clinic/Center
    • Pulaski, TN
    • NPI 1063294296

    Legacy Lifepoint Health LLC

    CMS ownership
View all 195

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

Affiliated clinicians 229

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 229

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1811086994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 S HIGHWAY 95",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269225",
            "telephone_number": "928-788-2273",
            "fax_number": "928-788-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC-FORT MOHAVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "H3864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "valleyview@yourcarecommunity.org",
            "affiliation": "N",
            "address_1": "5330 S Highway 95",
            "city": "Fort Mohave",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864269225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Valley View Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley View Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Mohave, AZ

Sources for this page

Verify at the official NPI Registry.