MEDICARE: YRMC HOSPICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	HSPC0008	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467409219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YRMC HOSPICE

Provider Business Mailing Address
First Line	:	3262 N WINDSONG DR
Second Line	:
City	:	PRESCOTT VALLEY
State	:	AZ
Zip	:	86314-2255
Country	:	US
Telephone Number	:	928-759-5900
Fax Number	:	928-759-5982

Provider Business Practice Location Address
First Line	:	3262 N WINDSONG DR
Second Line	:
City	:	PRESCOTT VALLEY
State	:	AZ
Zip	:	86314-2255
Country	:	US
Telephone Number	:	928-759-5900
Fax Number	:	928-759-5982

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. DOUGLAS O BRISTOL
Credential	:
Telephone Number	:	928-771-5691

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1528246162 — SEONJEONG KIM
Practice Location Address:

3212 N WINDSONG DR STE 200
PRESCOTT VALLEY, AZ
86314-2255

Practice Phone: 928-583-1000
Practice Fax:

1669036901 — MRS. LOLEITA LEANORA GREEN-REID APRN-FNP
Practice Location Address:

3212 N WINDSONG DR STE 200
PRESCOTT VALLEY, AZ
86314-2255

Practice Phone: 928-583-1000
Practice Fax:

1124017595 — DONALD JOHN HUANG MD
Practice Location Address:

3262 N WINDSONG DR BLDG 2
PRESCOTT VALLEY, AZ
86314-2255

Practice Phone: 928-771-4788
Practice Fax: 928-771-5712

1942251996 — DR. KARA E JOHNSON M.D.
Practice Location Address:

3200 N WINDSONG DR
PRESCOTT VALLEY, AZ
86314-2255

Practice Phone: 928-772-1505
Practice Fax: 928-772-6343

1124069968 — THOMAS G. MCCLEARY DO
Practice Location Address:

3200 N WINDSONG DR
PRESCOTT VALLEY, AZ
86314-2255

Practice Phone: 928-772-1505
Practice Fax: 928-772-6343

Directions to “YRMC HOSPICE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.