Organization
PHC-FORT MOHAVE INC
Active
Parent organization
PHC-FORT MOHAVE INC
Other names
Valley View Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHC-FORT MOHAVE INC
Authorized official
MR. WILLIAM M. GRACEY (CFO)
(615) 372-8500
Entity
Organization
Contact information
Practice address
5330 S HIGHWAY 95, FORT MOHAVE, AZ 86426-9225
(928) 788-7845
(928) 788-2273
Mailing address
5330 S HIGHWAY 95, FORT MOHAVE, AZ 86426-9225
(928) 788-7845
(928) 788-2273
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104567
—
AZ
05
—
XHSP43833
—
CA
05
—
XSHP33833
—
CA
Enumeration date
05/12/2008
Last updated
09/12/2008
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