ER VILLAGE CLINIC; NPI #1205695962

Contact Information

ER VILLAGE CLINIC

56 W CORTEZ DR
SEDONA, AZ 86351-9087

Phone: 602-821-1339
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Family Medicine	207Q00000X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for ER VILLAGE CLINIC

NPI Number	`1205695962`
LBN Legal business name	ER VILLAGE CLINIC
Authorized official	TRACY REAL - (VICE PRESDIENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/15/2024
Last updated	03/25/2026 - About 2 months 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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ER VILLAGE CLINIC

Contact Information

Specialty

Rural Health

Family Medicine

NPI Profile & details for ER VILLAGE CLINIC

Reviews for ER VILLAGE CLINIC