Agave Medical Center, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

AZ28273 Issued in AZ

Legal business name

AGAVE MEDICAL CENTER, LLC

Practice address

703 E Ash St
Suite 1B
Globe, AZ 85501-1865

Phone

(928) 425-3557

NPI assigned

Jan 6, 2008

Last updated

Feb 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Holly Elizabeth Rooney, M.D.NPI 1194738674

Title

Director

Phone

(928) 425-3557

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Holly Elizabeth Rooney, M.D.

  • Family Medicine Physician
  • Globe, AZ
  • NPI 1194738674
  NPD (past) Authorized official

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

{
    "created_epoch": "1199577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1992980239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E ASH ST",
            "address_2": "SUITE 1B",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855011865",
            "telephone_number": "928-425-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E ASH ST",
            "address_2": "SUITE 1B",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855011865",
            "telephone_number": "928-425-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAVE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-06",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "ROONEY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "928-425-3557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "AZ28273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Heart and Vascular Institute
• Affilion of Cobre Valley PLLC
• Jacob Albin, PHARMD
• Lisa Ann Allison, LCSW
• Rachel Alt, MD
• Brittany Amado, FNP-C
• Oscar Ernesto Andrade, MD

• Primary Care Clinic/Center in Globe, AZ
• Providers in Globe, 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 Feb 4, 2008; 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.