Organization Active NPI

Nazcare, Inc.

  • Exclusive Provider Organization
  • Eagar, AZ
National Provider Identifier
1962589879
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
CSA03NA0148 Issued in AZ
Legal business name
NAZCARE, INC.
Practice address
367 N Main St Ste 4
Eagar, AZ 85925-9675
Phone
(928) 333-4990
Fax
(928) 442-3144
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Ms. Roberta Lynne Howard
Title
Ceo
Phone
(928) 442-9205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X CSA03NA0148 AZ Primary

Addresses

Primary practice location

367 N Main St Ste 4
Eagar, AZ 85925-9675

Mailing address

599 White Spar Rd
Prescott, AZ 86303-4627
Phone (928) 442-9205

National Provider Directory

National Provider Directory
Tax ID family
Nazcare Inc - Care Wellness Center19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

367 N Main St
Ste 4
Eagar, AZ 85925
Phone (928) 333-4990

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1962589879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 WHITE SPAR RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034627",
            "telephone_number": "928-442-9205",
            "fax_number": "928-442-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 N MAIN ST STE 4",
            "city": "EAGAR",
            "state": "AZ",
            "postal_code": "859259675",
            "telephone_number": "928-333-4990",
            "fax_number": "928-442-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-442-9205",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AZ",
            "license": "CSA03NA0148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagar, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.