Organization
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
Active
Other names
Dignity Health Yavapai Regional Medical Group, Yavapai Regional Medical Center Physician Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT RICE (CFO)
(928) 445-2700
Entity
Organization
Contact information
Practice address
7700 E FLORENTINE RD BLDG B, SUITE A101, PRESCOTT VALLEY, AZ 86314-2245
(928) 442-8710
(928) 442-8742
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34238
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459138
—
AZ
01
—
Z126775
MEDICARE PTAN
AZ
Enumeration date
07/14/2009
Last updated
04/30/2025
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