Williams Health Care Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WILLIAMS HEALTH CARE CENTER

Practice address

301 S 7TH St
Williams, AZ 86046-2324

Phone

(928) 635-4441

NPI assigned

Jun 26, 2006

Last updated

Oct 15, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

BANNER HEALTHAs reported in NPPES

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

Authorized official

Name

Dennis Dahlen

Title

Sr Vice President Finance

Phone

(602) 747-4000

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Big Horn Family Med

Member of 1

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

• Banner Health

  dba Banner Hospice of Northern Colorado

  • Community Based Hospice Care Agency
  • Greeley, CO
  • NPI 1407409964

  Member Of

  NPD member

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1912934258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 7TH ST",
            "city": "WILLIAMS",
            "state": "AZ",
            "postal_code": "860462324",
            "telephone_number": "928-635-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS HEALTH CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "SR VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "533788",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Tohlakai, NUTRITIONIST, HERBAL
• Andrea R. Trujillo, D.P.T.
• Cesareo G Vasquez, M.D.
• Kristine Kay Vasquez, OTR/L
• Matt P Vestal, RPH
• Williams Unified School District #2

• Primary Care Clinic/Center in Williams, AZ
• Providers in Williams, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.