Bullhead City Clinic Corp | |
2500 Canyon Rd Bldg B Bullhead City AZ 86442-8624 | |
(928) 763-9290 | |
Not Available |
Full Name | Bullhead City Clinic Corp |
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Speciality | Surgery |
Location | 2500 Canyon Rd Bldg B, Bullhead City, Arizona |
Authorized Official Name and Position | Kristina Music (DIRECTOR OF PROVIDER ENROLLMENT) |
Authorized Official Contact | 6154657377 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bullhead City Clinic Corp Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-3371 | Bullhead City Clinic Corp 2500 Canyon Rd Bldg B Bullhead City AZ 86442-8624 Ph: (928) 763-9290 |
NPI Number | 1962429878 |
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Provider Enumeration Date | 07/16/2006 |
Last Update Date | 01/11/2024 |
Medicare PECOS PAC ID | 1052317575 |
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Medicare Enrollment ID | O20061005000614 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962429878 | NPI | - | NPPES |
332390 | Medicaid | AZ |
Provider Name | James Duane Bates |
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Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1275572992 PECOS PAC ID: 2961483375 Enrollment ID: I20040602000088 |
Provider Name | Jerold R Morgan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710910575 PECOS PAC ID: 9032134200 Enrollment ID: I20070322000252 |
Provider Name | Richard Bailey |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1477553543 PECOS PAC ID: 6406948223 Enrollment ID: I20080423000641 |
Provider Name | Jose H Alvarez |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1093899379 PECOS PAC ID: 4880857564 Enrollment ID: I20120516000216 |
Provider Name | Angela Lipinski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275911521 PECOS PAC ID: 8628381555 Enrollment ID: I20150721000797 |
Provider Name | Malik T Rahim |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1356542112 PECOS PAC ID: 0941350631 Enrollment ID: I20160811001035 |
Provider Name | Michael H Wright |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1649242678 PECOS PAC ID: 1153372917 Enrollment ID: I20170605002473 |
Provider Name | Nachiket J Patel |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1528377090 PECOS PAC ID: 6002068830 Enrollment ID: I20181107002334 |
Provider Name | Deborah Ann Hughson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164988135 PECOS PAC ID: 9436490984 Enrollment ID: I20190409003580 |
Provider Name | Nathan Chad Weaver |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1386064863 PECOS PAC ID: 0446568331 Enrollment ID: I20190731003768 |
Provider Name | Ludane Simmons |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114367364 PECOS PAC ID: 8921335142 Enrollment ID: I20190812001390 |
Provider Name | Thomas G Hooke |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1154784023 PECOS PAC ID: 8325331176 Enrollment ID: I20190828001137 |
Provider Name | Teresa Gentry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477119048 PECOS PAC ID: 7618206822 Enrollment ID: I20190913001310 |
Provider Name | Joanne Rink |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1215991963 PECOS PAC ID: 7012967664 Enrollment ID: I20191003003041 |
Provider Name | Fahim A Habib |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1659336857 PECOS PAC ID: 6204881881 Enrollment ID: I20191101001715 |
Provider Name | Joie L Tedder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699195438 PECOS PAC ID: 4981822798 Enrollment ID: I20200612000793 |
Provider Name | Michael Davis |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1689928061 PECOS PAC ID: 2466780036 Enrollment ID: I20200618002158 |
Provider Name | Douglas Daniel Opie |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1154708451 PECOS PAC ID: 8921421702 Enrollment ID: I20200713001622 |
Provider Name | Ryan T Hunley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992233704 PECOS PAC ID: 2062835721 Enrollment ID: I20200714001166 |
Provider Name | Wilman B Olmedo Calderon |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1457788796 PECOS PAC ID: 7113341462 Enrollment ID: I20200721000954 |
Provider Name | Aditya R Goud |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1073929550 PECOS PAC ID: 9335446327 Enrollment ID: I20210621001783 |
Provider Name | Joy Marie Dunn |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1760702328 PECOS PAC ID: 0042441248 Enrollment ID: I20210719001753 |
Provider Name | Michael T Rozell |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1962769653 PECOS PAC ID: 8022388719 Enrollment ID: I20210820001706 |
Provider Name | Suzette Watson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417473224 PECOS PAC ID: 6800162066 Enrollment ID: I20210901001141 |
Provider Name | Nancy Lynn Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043823800 PECOS PAC ID: 4082011192 Enrollment ID: I20211118002694 |
Provider Name | Dorota Maria Kotyra-wright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548928286 PECOS PAC ID: 9436542362 Enrollment ID: I20220216002732 |
Provider Name | Geraldine Tanagon Liban |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932861366 PECOS PAC ID: 5799171161 Enrollment ID: I20220412001167 |
Provider Name | Mary Lynn Peeks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518520998 PECOS PAC ID: 3678960200 Enrollment ID: I20220428000969 |
Provider Name | Philip Anthony Basala |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1558376137 PECOS PAC ID: 7517035900 Enrollment ID: I20220506002006 |
Provider Name | Nicholas Dean Ghiloni |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1780002774 PECOS PAC ID: 7416220942 Enrollment ID: I20220819002380 |
Provider Name | Connie N Douglass |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255069688 PECOS PAC ID: 6608242508 Enrollment ID: I20221018001869 |
Provider Name | Giovanni Salerno |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1942242698 PECOS PAC ID: 8325947237 Enrollment ID: I20230113000401 |
Provider Name | Amy Gryder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407579931 PECOS PAC ID: 0840669651 Enrollment ID: I20230627003082 |
Provider Name | Ian Lloyd Ruiz Baccay |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093496069 PECOS PAC ID: 7315300993 Enrollment ID: I20230830000577 |
Provider Name | David Jenkins |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1639524283 PECOS PAC ID: 5890088835 Enrollment ID: I20230901002959 |
Provider Name | Rupinder Singh Sekhon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568090397 PECOS PAC ID: 6608222799 Enrollment ID: I20231025003511 |
Provider Name | Kanwaldeep Kaur Virk |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124648142 PECOS PAC ID: 7517315229 Enrollment ID: I20231117002976 |
Provider Name | James Ingram |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1891756011 PECOS PAC ID: 7315005402 Enrollment ID: I20240306000689 |
Provider Name | Sarah Louise Langguth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700663838 PECOS PAC ID: 7810338340 Enrollment ID: I20240514004184 |
Beneze Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3003 Highway 95, Suite G73, Bullhead City, AZ 86442 Phone: 928-758-7700 Fax: 928-758-5700 | |
Dadra Community Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3706 Highway 95 Ste 101, Bullhead City, AZ 86442 Phone: 928-201-9286 Fax: 928-219-4610 | |
River Cities Community Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 813 Hancock Rd, Suite 2, Bullhead City, AZ 86442 Phone: 928-704-9700 | |
All Wellness Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Canyon Rd Ste A1, Bullhead City, AZ 86442 Phone: 928-704-4499 Fax: 928-704-4949 | |
All Women's Regional Medical Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Canyon Rd, Ste A1, Bullhead City, AZ 86442 Phone: 928-704-4499 Fax: 928-704-4949 | |
Dadra Hospital Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3706 Highway 95 Ste 101, Bullhead City, AZ 86442 Phone: 928-201-9286 Fax: 928-219-4610 | |
Jr Renaissance Health Services, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1957 Hway 95 Ste 23, Bullhead City, AZ 86442 Phone: 928-234-3834 |