Healthcare Provider Details

I. General information

NPI: 1275588345
Provider Name (Legal Business Name): MT GRAHAM REGIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S 20TH AVE
SAFFORD AZ
85546
US

IV. Provider business mailing address

1600 S 20TH AVE
SAFFORD AZ
85546-4011
US

V. Phone/Fax

Practice location:
  • Phone: 928-348-4000
  • Fax: 928-348-4018
Mailing address:
  • Phone: 928-348-4000
  • Fax: 928-348-4018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License NumberH0140
License Number StateAZ

VIII. Authorized Official

Name: DR. BART CARTER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: CEO
Phone: 928-348-4000