DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PHC-FORT MOHAVE INC

MEDICARE: PHC-FORT MOHAVE INC
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
1282N00000XGeneral Acute Care HospitalH3864AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811086994
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHC-FORT MOHAVE INC
Provider Business Mailing Address
First Line : 330 SEVEN SPRINGS WAY
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-5098
Country : US
Telephone Number : 615-920-7000
Fax Number : 615-920-8913
Provider Business Practice Location Address
First Line : 5330 S HIGHWAY 95
Second Line :
City : FORT MOHAVE
State : AZ
Zip : 86426-9225
Country : US
Telephone Number : 928-788-2273
Fax Number : 928-788-2273
Authorized Official
Title or Position : SECRETARY
Name : CHARLOTTE LAWRENCE
Credential :
Telephone Number : 615-920-7000
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/31/2023

Similar Medicare Providers

1922262286 — DR. WADE GRINDLE M.D.
Practice Location Address:
5330 S HIGHWAY 95
FORT MOHAVE, AZ
86426-9225
Practice Phone: 928-788-7090
Practice Fax:
1518947886 — DR. KENNETH DUDLEY LOCKE DO
Practice Location Address:
5330 S HIGHWAY 95
FORT MOHAVE, AZ
86426-9225
Practice Phone: 928-788-7069
Practice Fax:
1134142664 — DR. MARK E LAURSEN MD
Practice Location Address:
5330 S HIGHWAY 95
FORT MOHAVE, AZ
86426-9225
Practice Phone: 928-788-7064
Practice Fax:
1538241914 — PHC-FORT MOHAVE INC
Practice Location Address:
5330 S HIGHWAY 95
FORT MOHAVE, AZ
86426-9225
Practice Phone: 928-788-2273
Practice Fax: 928-788-7845
1962573436 — MEDSTAT ANESTHESIA CONSULTANTS
Practice Location Address:
5330 S HIGHWAY 95
FORT MOHAVE, AZ
86426-9225
Practice Phone: 928-788-2273
Practice Fax:
1992992747 — EMERGENCY PHYSICIANS MEDICAL GROUP INC
Practice Location Address:
5330 S HIGHWAY 95
FORT MOHAVE, AZ
86426-9225
Practice Phone: 330-493-4443
Practice Fax: 330-493-8677

Directions to “PHC-FORT MOHAVE INC ” 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.