| Sedona Integrative Medical Clinic, Llc | |
|
450 S Willard St Ste 101 Cottonwood AZ 86326-6744 | |
| (928) 284-0166 | |
| (928) 284-1810 |
| Full Name | Sedona Integrative Medical Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 450 S Willard St Ste 101, Cottonwood, Arizona |
| Authorized Official Name and Position | Nicol Marie Moody (OFFICE MANAGER) |
| Authorized Official Contact | 9282840166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sedona Integrative Medical Clinic, Llc 450 S Willard St Ste 101 Cottonwood AZ 86326-6744 Ph: (928) 284-0166 | Sedona Integrative Medical Clinic, Llc 450 S Willard St Ste 101 Cottonwood AZ 86326-6744 Ph: (928) 284-0166 |
| NPI Number | 1932349867 |
|---|---|
| Provider Enumeration Date | 03/05/2009 |
| Last Update Date | 07/18/2022 |
| Medicare PECOS PAC ID | 4486704913 |
|---|---|
| Medicare Enrollment ID | O20090604000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932349867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | 5669 (Arizona) | Secondary |
| Provider Name | Eric A Haggard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568507358 PECOS PAC ID: 2264582709 Enrollment ID: I20090604000390 |
| Provider Name | Mary Derose |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407991276 PECOS PAC ID: 6608034582 Enrollment ID: I20120223000325 |
Family Health Providers, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 S Candy Ln, Ste. 1a, Cottonwood, AZ 86326 Phone: 928-634-5551 Fax: 928-634-5604 | |
Verde Valley Connection Primary Care Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 E Cottonwood St Bldg C, Cottonwood, AZ 86326 Phone: 928-203-5400 Fax: 928-634-2841 | |
Spectrum Healthcare Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 W Mingus Ave, Cottonwood, AZ 86326 Phone: 928-634-2236 Fax: 928-634-8960 | |
Joyce L. Richards, D.o. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S Candy Ln, Ste 2a, Cottonwood, AZ 86326 Phone: 928-634-5700 Fax: 928-634-8115 | |
C. Dexter Hayes, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 S Candy Ln, Suite B2, Cottonwood, AZ 86326 Phone: 928-649-0649 Fax: 928-649-0486 | |
Mingus Mountain Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 450 S Willard St Ste 107, Cottonwood, AZ 86326 Phone: 928-848-6161 | |
Robert H Jochim, Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 696 E Mingus Ave, Cottonwood, AZ 86326 Phone: 928-634-5513 Fax: 928-634-0056 |