Organization
YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Yavapai Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT RICE (CFO)
(928) 771-5695
Entity
Organization
Contact information
Practice address
1003 WILLOW CREEK ROAD, PRESCOTT, AZ 86301
(928) 445-2700
(928) 458-2015
Mailing address
1003 WILLOW CREEK ROAD, PRESCOTT, AZ 86301
(928) 759-5997
(928) 771-5722
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H-0115
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062457
AETNA
AZ
05
—
020420
—
AZ
01
—
AZ0000090
AZ BLUE CROSS
AZ
Enumeration date
10/31/2005
Last updated
04/02/2021
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