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Contact Information

MT GRAHAM REGIONAL MEDICAL CENTER INC
1600 S. 20TH AVE., BLDG. E
SAFFORD, AZ85546
 Phone: 928-428-5668
 Fax: 928-348-3868
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for MT GRAHAM REGIONAL MEDICAL CENTER INC

NPI Number 1659337848
LBN Legal business name MT GRAHAM REGIONAL MEDICAL CENTER INC
Authorized official JILL HEINRICH - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/25/2006
Last updated 04/26/2012 - About 14 years ago
Identifiers
AZ License # HHA-210
AZ Medicaid 317786
AZ Other HHA-210 ADHS NUMBER
AZ Other 03D0886073 CLIA NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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