PHC-FORT MOHAVE, INC. is an urgent care facility/clinic in BULLHEAD CITY, AZ. The PRESIDENT of PHC-FORT MOHAVE, INC. is DONALD BIVACCA. Their NPI profile information was initially created about 13 years ago on Aug 01, 2013.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Urgent Care |
261QU0200X |
| NPI Number | 1174955116 |
| LBN Legal business name | PHC-FORT MOHAVE, INC. |
| Authorized official | DONALD BIVACCA - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/01/2013 |
| Last updated | 08/01/2013 - About 13 years ago |
| Identifiers | n/a |
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