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Contact Information

PHC-FORT MOHAVE, INC.
3641 HIGHWAY 95
BULLHEAD CITY, AZ86442-8151
 Phone: 928-758-2273
 Fax: 928-758-2166
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for PHC-FORT MOHAVE, INC.

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
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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