WHITE MOUNTAIN REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC - ST. JOHNS – NPI #1497277651
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

WHITE MOUNTAIN REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC - ST. JOHNS is an AHC clinic located in SAINT JOHNS, AZ. NPPES has assigned the NPI number 1497277651 to WHITE MOUNTAIN REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC - ST. JOHNS on July 10, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 4 years ago on May 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WHITE MOUNTAIN REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC - ST. JOHNS below.

NPI Profile for
WHITE MOUNTAIN REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC - ST. JOHNS

NPI Number
1497277651
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WHITE MOUNTAIN REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC - ST. JOHNS
Primary location
110 EAST FIRST STREET SOUTH
SAINT JOHNS, AZ 85936
Phone: (928) 333-7333 Fax: (928) 333-7157
Mailing address
118 S MOUNTAIN AVE
SPRINGERVILLE, AZ 85938-5104
Phone: (928) 333-7333 Fax: (928) 333-7157
Organization Subpart
Yes - WHITE MOUNTAIN REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC - ST. JOHNS is subpart of another organization.
Authorized Official
TRACY NELSON
CLINIC MANAGER
Phone: (928) 333-7173
Updated
Certification Date
May 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
AZ OTC7868

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.