National Provider Identifier Database

SIERRA VISTA REGIONAL HEALTH CENTER MEDICAL GROUP LLC
Rural Health


Contact Information

SIERRA VISTA REGIONAL HEALTH CENTER MEDICAL GROUP LLC
5750 E HIGHWAY 90 STE 375
SIERRA VISTA, AZ85635-9114
Phone: 520-263-3762
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for SIERRA VISTA REGIONAL HEALTH CENTER MEDICAL GROUP LLC

NPI Number 1962273011
Legal business name
LBN
SIERRA VISTA REGIONAL HEALTH CENTER MEDICAL GROUP LLC
Authorized official CHARLOTTE LAWRENCE - (SECRETARY)
Entity Organization
Organization subpart No
Enumeration date 01/09/2024
Last updated 09/26/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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