| NPI | 1124566559 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2017-02-06 |
| Last Updated | 2024-07-29 |
| Authorized Official | Corinne Bailey Credentialing Specialist Phone: 8776347333 |
| Mailing Address | 8 E Cottonwood St Cottonwood, AZ 86326-4382 United States Phone: (877) 634-7333 | Fax: (866) 984-3891 📍 View Map |
| Primary Practice Address | 452 W Finnie Flat Rd Ste F Camp Verde, AZ 86322-7379 United States Phone: (776) 347-3338 | Fax: (866) 984-3891 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | — | — |
| No | 208000000X – Pediatrics | — | — |
| No | 363A00000X – Physician Assistant | — | — |
| No | 363LF0000X – Nurse Practitioner, Family | — | — |
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About NPI 1124566559
Spectrum Healthcare Group, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1124566559. The primary specialty listed is Family Medicine. The organization is located in Camp Verde, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-02-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124566559?
NPI 1124566559 belongs to Spectrum Healthcare Group, Inc, a Family Medicine in Camp Verde, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124566559 active?
The current status of NPI 1124566559 in the NPPES registry is Active. The record was last updated on 2024-07-29.
What specialty is NPI 1124566559?
NPI 1124566559 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124566559?
You can verify NPI 1124566559 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124566559?
The primary practice address on file for NPI 1124566559 is 452 W Finnie Flat Rd Ste F, Camp Verde, AZ 86322-7379. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124566559 issued?
NPI 1124566559 was first issued (enumerated) on 2017-02-06. The NPPES record was last updated on 2024-07-29.
Practice Location Map
Spectrum Healthcare Group, Inc is located at 452 W Finnie Flat Rd Ste F, Camp Verde, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Spectrum Healthcare Group, Inc. All records sourced from the CMS NPPES registry.