PRESCOTT URGENT CARE – NPI #1811447006
Clinic/Center

PRESCOTT URGENT CARE is an AHC clinic located in PRESCOTT, AZ. NPPES has assigned the NPI number 1811447006 to PRESCOTT URGENT CARE on October 11, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PRESCOTT URGENT CARE” is a dba name, the actual legal business name for this organization is GRANITE MOUNTAIN MEDICAL, PLLC. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

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 PRESCOTT URGENT CARE below.

NPI Profile for
GRANITE MOUNTAIN MEDICAL, PLLC

NPI Number
1811447006
Enumeration Date

(more than 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
GRANITE MOUNTAIN MEDICAL, PLLC
Doing Business As (dba): PRESCOTT URGENT CARE
Primary location
1680 WILLOW CREEK RD
PRESCOTT, AZ 86301-1108
Phone: (502) 767-6708 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CRAIG SINNARD
OWNER
Phone: (502) 767-6708
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
261QU0200X
- Clinic/Center / Urgent Care (Primary)		 AZ 49161

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.