Willow Valley Medical Center Pc
LBN: Willow Valley Medical Center Pc
Willow Valley Medical Center Pc is an health care organization with primary practice located at 8700 Highway 95 , Mohave Valley AZ 86440-8519. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Willow Valley Medical Center Pc can be contacted via phone (760) 217-2464, or through Anderson, Donovan J via phone (760) 217-2464.
Contact Information
Primary practice address
8700 Highway 95
Mohave Valley AZ 86440-8519
Phone: (760) 217-2464
Fax: (928) 453-9207
Website:
Authorized official contact:
Name: Anderson, Donovan J Doctor of Medicine (MD)
Phone: (760) 217-2464
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13491 | Arizona |
Profile Details
| NPI number | 1134111834 |
|---|---|
| LBN Legal business name | Willow Valley Medical Center Pc |
| DBA Doing business as | |
| Authorized official | Anderson, Donovan J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Feb 8th, 2018 - about 6 years 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 | 1134111834 | NPPES |
| Arizona | MEDICAID | 205288-002 | |
| Arizona | Other | DI935A | |
| Arizona | MEDICAID | XPY055881 | |
| Arizona | MEDICAID | 205288-01 | |
| Arizona | Other | AZ0325100 |
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