Organization
SIERRA VISTA REGIONAL HEALTH CENTER MEDICAL GROUP LLC
Active
Other names
Sierra Vista Medical Group Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
5750 E HIGHWAY 90 STE 200, SIERRA VISTA, AZ 85635-9113
(520) 263-3762
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
09/26/2024
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