| NPI | 1285389585 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2022-02-15 |
| Last Updated | 2022-02-15 |
| Authorized Official | Ann Mccombs Medical Director Phone: 2067184343 |
| Mailing Address | 3124 Willow Creek Rd Prescott, AZ 86301-6610 United States Phone: (928) 445-7085 | Fax: (928) 445-7095 📍 View Map |
| Primary Practice Address | 3124 Willow Creek Rd Prescott, AZ 86301-6610 United States Phone: (928) 445-7085 | Fax: (928) 445-7095 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | AZ | 005821 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | - | - |
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About NPI 1285389585
Thumb Butte Medical Clinic, Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1285389585. The primary specialty listed is Internal Medicine. The organization is located in Prescott, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2022-02-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1285389585?
NPI 1285389585 belongs to Thumb Butte Medical Clinic, Pllc, a Internal Medicine in Prescott, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1285389585 active?
The current status of NPI 1285389585 in the NPPES registry is Active. The record was last updated on 2022-02-15.
What specialty is NPI 1285389585?
NPI 1285389585 is classified under the taxonomy Internal 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 1285389585?
You can verify NPI 1285389585 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 1285389585?
The primary practice address on file for NPI 1285389585 is 3124 Willow Creek Rd, Prescott, AZ 86301-6610. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1285389585 issued?
NPI 1285389585 was first issued (enumerated) on 2022-02-15. The NPPES record was last updated on 2022-02-15.
Practice Location Map
Thumb Butte Medical Clinic, Pllc is located at 3124 Willow Creek Rd, Prescott, 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 Thumb Butte Medical Clinic, Pllc. All records sourced from the CMS NPPES registry.