Granite Mountain Health Llc

LBN: Granite Mountain Health Llc
Granite Mountain Health Llc is an health care organization with primary practice located at 212 S Montezuma St Ste 3 , Prescott AZ 86303-4720. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Urgent Care, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. Granite Mountain Health Llc can be contacted via phone (928) 515-3097, or through Schafer, Phillip via phone (928) 814-1550.

Contact Information

Primary practice address
212 S Montezuma St Ste 3 Prescott AZ 86303-4720
Phone: (928) 515-3097
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schafer, Phillip Nurse Practitioner (NP)
Phone: (928) 814-1550

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1437992112
LBN Legal business name Granite Mountain Health Llc
DBA Doing business as
Authorized official Schafer, Phillip Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2024
Last updated Jun 19th, 2024 - about 3 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437992112 NPPES
Arizona Other 1790276608 URGENT CARE

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