Organization
YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
Active
Parent organization
YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
Other names
Yavapai Regional Medical Center General Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
Authorized official
MR. LEE LIVIN (CHIEF FINANCIAL OFFICER)
(928) 771-5691
Entity
Organization
Contact information
Practice address
804 AINSWORTH DRIVE STE. 103, PRESCOTT, AZ 86301-1624
(928) 445-2700
(928) 771-5785
Mailing address
1003 WILLOW CREEK ROAD, PRESCOTT, AZ 86301-1641
(928) 771-5695
(928) 458-2015
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H0115
AZ
208600000X
Surgery Physician
H3964
AZ
Other
Enumeration date
09/05/2007
Last updated
07/21/2022
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