NPIMap

Organization Active NPI

Yavapai Community Hospital Association

Doing business as Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott Valley, AZ
National Provider Identifier
1871534487
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H3964 Issued in AZ
Legal business name
YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
Doing business as
Yavapai Regional Medical Center
Practice address
7700 E Florentine Rd
Prescott Valley, AZ 86314-2245
Phone
(928) 445-2700
Fax
(928) 458-2015
NPI assigned
Jun 8, 2006
Last updated
Jun 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Mr. Jason Metcalf
Title
Revenue Cycle Director
Phone
(928) 771-5564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H3964 AZ Primary

Addresses

Primary practice location

7700 E Florentine Rd
Prescott Valley, AZ 86314-2245

Mailing address

7700 E Florentine Rd
Prescott Valley, AZ 86314-2245
Phone (928) 759-5997

Other names 1

  • Yavapai Regional Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040119000405 AZ Part B Supplier - Clinic/Group Practice 6608777024 Receives reassigned benefits from 84 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prescott, AZ; Prescott Valley, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871534487. Details of each certification follow.

Hospital certification: CCN 030118

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
YAVAPAI REGIONAL MEDICAL CENTER-EAST CAMPUS
Certification status
Terminated Voluntary: merger or closure, Aug 1, 2016
Provider type (POS)
Hospital – Short-term
Participating since
May 31, 2006
Last certification
Aug 30, 2016
Beds
72
Ownership / control type
Private (for profit)
Facility address
7700 East Florentine Road
Prescott Valley, AZ 86314

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
03D1051518Yavapai Regional Medical Center East Campus7700 E Florentine Road, Prescott Valley, AZ 86314AccreditationApr 9, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

810 Whipple St
Prescott, AZ 86301
Phone (928) 771-7577

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1871534487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 E FLORENTINE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142245",
            "telephone_number": "928-759-5997",
            "fax_number": "928-771-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 E FLORENTINE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142245",
            "telephone_number": "928-445-2700",
            "fax_number": "928-458-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAVAPAI COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "METCALF",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "928-771-5564",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "H3964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yavapai Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.