| Rocky Mountain Medical Pllc | |
|
1003 Division St Ste 1 Prescott AZ 86301-1657 | |
| (928) 777-2425 | |
| Not Available |
| Full Name | Rocky Mountain Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1003 Division St, Prescott, Arizona |
| Authorized Official Name and Position | Herman Charles Heikkenen (CEO) |
| Authorized Official Contact | 9287772425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Medical Pllc Po Box 2527 Prescott AZ 86302-2527 Ph: (928) 777-2425 | Rocky Mountain Medical Pllc 1003 Division St Ste 1 Prescott AZ 86301-1657 Ph: (928) 777-2425 |
| NPI Number | 1285773549 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 11/02/2007 |
| Medicare PECOS PAC ID | 1850497884 |
|---|---|
| Medicare Enrollment ID | O20070508000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285773549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32037 (Arizona) | Primary |
| Provider Name | Herman C Heikkenen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437228749 PECOS PAC ID: 9335048917 Enrollment ID: I20040102000354 |
Agmc - Crossings Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3777 Crossings Dr, Prescott, AZ 86305 Phone: 928-771-9693 Fax: 928-708-0505 | |
Ellen F Bunch Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1456 W Gurley St, Prescott, AZ 86305 Phone: 928-777-8880 Fax: 928-777-8884 | |
Hillside Outpatient Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 Gail Gardner Way, Prescott, AZ 86305 Phone: 928-445-5211 Fax: 928-776-8484 | |
Verde Valley Guidance Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3633 Crossings Dr, Prescott, AZ 86305 Phone: 928-778-0330 Fax: 928-778-1146 | |
Fred S Markham Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 Ainsworth Dr, Suite 104, Prescott, AZ 86301 Phone: 928-778-1736 Fax: 928-717-0785 | |
Yavapai Regional Medical Center Physician Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 Gail Gardner Way, Suite B, Prescott, AZ 86305 Phone: 928-445-0304 | |
Yavapai Regional Medical Center Physician Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Gail Gardner Way, Suite 300, Prescott, AZ 86305 Phone: 928-771-3704 Fax: 928-771-0434 |