WAARA FAMILY MEDICINE, LLC – NPI #1376742205
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

WAARA FAMILY MEDICINE, LLC is an AHC clinic located in PRESCOTT, AZ. NPPES has assigned the NPI number 1376742205 to WAARA FAMILY MEDICINE, LLC on July 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 14 years ago on Dec 14, 2011. 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 WAARA FAMILY MEDICINE, LLC below.

NPI Profile for
WAARA FAMILY MEDICINE, LLC

NPI Number
1376742205
Enumeration Date

(about 19 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
WAARA FAMILY MEDICINE, LLC
Primary location
1672 OAKLAWN DR
PRESCOTT, AZ 86305-1106
Phone: (928) 445-5339 Fax: (928) 445-3664
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER SLOCUM WAARA
CEO
Phone: (928) 445-5339
Updated
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
261QM2500X
- Clinic/Center / Medical Specialty (Primary)
AZ 36449

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.