MT GRAHAM REGIONAL MEDICAL CENTER INC; NPI #1770549974

Contact Information

MT GRAHAM REGIONAL MEDICAL CENTER INC

1600 S. 20TH AVE
BLDG. E
SAFFORD, AZ 85546

Phone: 928-348-4063
Fax: 928-348-3868
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for MT GRAHAM REGIONAL MEDICAL CENTER INC

NPI Number 1770549974

LBN Legal business name MT GRAHAM REGIONAL MEDICAL CENTER INC

Authorized official KEITH BRYCE - (CFO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 04/25/2006

Last updated 09/27/2016 - About 10 years ago

Identifiers

AZ	License #	HSPC-43
AZ	Medicaid	317786
AZ	Other	HSPC-43	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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MT GRAHAM REGIONAL MEDICAL CENTER INC

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for MT GRAHAM REGIONAL MEDICAL CENTER INC

Reviews for MT GRAHAM REGIONAL MEDICAL CENTER INC