National Provider Identifier Database

MT GRAHAM REGIONAL MEDICAL CENTER INC
Rural Health


Contact Information

MT GRAHAM REGIONAL MEDICAL CENTER INC
2175 W 16TH ST
SAFFORD, AZ85546-0011
Phone: 928-348-4037
Fax: 844-271-2379
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for MT GRAHAM REGIONAL MEDICAL CENTER INC

NPI Number 1346528759
Legal business name
LBN
MT GRAHAM REGIONAL MEDICAL CENTER INC
Authorized official DIANE HANSEN - (DIRECTOR OUTPATIENT CLINICS)
Entity Organization
Organization subpart Yes
Enumeration date 08/02/2011
Last updated 11/07/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 920739
  • AZ Medicaid: 964830

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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