Healthcare Provider Details

I. General information

NPI: 1831578657
Provider Name (Legal Business Name): YAVAPAI MEDICAL BILLING, CODING & LOANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2015
Last Update Date: 05/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8991 E VALLEY RD SUITE B
PRESCOTT VALLEY AZ
86314-8981
US

IV. Provider business mailing address

8991 E VALLEY RD SUITE B
PRESCOTT VALLEY AZ
86314-8981
US

V. Phone/Fax

Practice location:
  • Phone: 928-379-7016
  • Fax: 928-255-4815
Mailing address:
  • Phone: 928-379-7016
  • Fax: 928-255-4815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: CASSANDRA SMITH
Title or Position: OWNER
Credential:
Phone: 928-379-7016