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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437992112 | NPPES |
Arizona | Other | 1790276608 | URGENT CARE |
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