Organization
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
Active
Other names
Yavapai Regional Medical Center Physician Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE LIVIN (CFO)
(928) 771-5691
Entity
Organization
Contact information
Practice address
802 AINSWORTH DR, SUITE A, PRESCOTT, AZ 86301-1623
(928) 445-6025
(928) 778-3026
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 759-5987
(928) 458-2039
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
475065
AHCCCS
AZ
Enumeration date
10/20/2009
Last updated
04/04/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us