BILLY CREEK CLINIC – NPI #1679730493
Clinic/Center

BILLY CREEK CLINIC is an AHC clinic located in LAKESIDE, AZ. NPPES has assigned the NPI number 1679730493 to BILLY CREEK CLINIC on May 20, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 18 years ago on May 27, 2008. 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 BILLY CREEK CLINIC below.

NPI Profile for
BILLY CREEK CLINIC

NPI Number
1679730493
Enumeration Date

(more than 18 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
BILLY CREEK CLINIC
Primary location
43 W WHITE MOUNTAIN BLVD
LAKESIDE, AZ 85929-7002
Phone: (928) 367-4040 Fax: (928) 367-4042
Mailing address
PO BOX 878
SPRINGERVILLE, AZ 85938-0878
Phone: (928) 333-5333 Fax: (928) 333-5100
Organization Subpart
No
Authorized Official
JENNIFER LARUE
BILLING
Phone: (928) 333-5333
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
261QP2300X
- Clinic/Center / Primary Care (Primary)		 AZ 32794

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.