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Contact Information

MOUNT GRAHAM FAMILY MEDICINE PRACTICE,P.C.
1300 S. 20TH AVENUE
SAFFORD, AZ85546
 Phone: 928-428-3122
 Fax: 928-428-7917
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MOUNT GRAHAM FAMILY MEDICINE PRACTICE,P.C.

NPI Number 1508072844
LBN Legal business name MOUNT GRAHAM FAMILY MEDICINE PRACTICE,P.C.
Authorized official BRIAN KARTCHNER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2007
Last updated 10/02/2008 - About 18 years ago
Identifiers n/a
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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