# YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dignity Health Yavapai Regional Medical Group, Yavapai Regional Medical Center Physician Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043449887
- **Authorized official:** MR. MATT RICE (CFO)
- **Authorized official phone:** (928) 445-2700

## Contact information

- **Practice address:** 7700 E FLORENTINE RD BLDG B, SUITE A101, PRESCOTT VALLEY, AZ 86314-2245
- **Practice address phone:** (928) 442-8710
- **Practice address fax:** (928) 442-8742
- **Mailing address:** PO BOX 10880, PRESCOTT, AZ 86304-0880
- **Mailing address phone:** (602) 406-4786
- **Mailing address fax:** (916) 636-4358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 34238 | AZ | Yes |

## Other

- **Enumeration date:** 07/14/2009
- **Last updated:** 04/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 459138 | — | AZ |
| 01 | — | Z126775 | MEDICARE PTAN | AZ |