GRANITE MOUNTAIN MEDICAL, PLLC; NPI #1811447006

Contact Information

GRANITE MOUNTAIN MEDICAL, PLLC

1680 WILLOW CREEK RD
PRESCOTT, AZ 86301-1108

Phone: 502-767-6708
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for GRANITE MOUNTAIN MEDICAL, PLLC

NPI Number 1811447006

LBN Legal business name GRANITE MOUNTAIN MEDICAL, PLLC

Authorized official CRAIG SINNARD - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/11/2016

Last updated 10/11/2016 - About 10 years ago

Identifiers

License #

49161

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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GRANITE MOUNTAIN MEDICAL, PLLC

Contact Information

Specialty

Urgent Care

NPI Profile & details for GRANITE MOUNTAIN MEDICAL, PLLC

Reviews for GRANITE MOUNTAIN MEDICAL, PLLC