ARIZONA INSTITUTE OF MEDICINE AND SURGERY – NPI #1881680122
Clinic/Center

ARIZONA INSTITUTE OF MEDICINE AND SURGERY is an AHC clinic located in KINGMAN, AZ. NPPES has assigned the NPI number 1881680122 to ARIZONA INSTITUTE OF MEDICINE AND SURGERY on September 22, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ARIZONA INSTITUTE OF MEDICINE AND SURGERY is also known by the name OUTPATIENT TREATMENT CTR. With multiple taxonomy codes selected, 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

The NPI profile was previously updated about 8 years ago on Jun 05, 2018. 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 ARIZONA INSTITUTE OF MEDICINE AND SURGERY below.

NPI Profile for
ARIZONA INSTITUTE OF MEDICINE AND SURGERY

NPI Number
1881680122
Enumeration Date

(more than 20 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
ARIZONA INSTITUTE OF MEDICINE AND SURGERY
Other Name: OUTPATIENT TREATMENT CTR
Primary location
3636 STOCKTON HILL ROAD
KINGMAN, AZ 86409
Phone: (928) 757-3680 Fax: (928) 757-3614
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AZAM KHAN
CHIEF ADMINISTRATIVE OFFICER
Phone: (928) 757-3636
Updated
Identifiers

Identifiers for ARIZONA INSTITUTE OF MEDICINE AND SURGERY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ167933
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)
291U00000X
- Clinical Medical Laboratory
2085R0202X
- Radiology / Diagnostic Radiology
AZ OTC660
2085B0100X
- Radiology / Body Imaging
AZ OTC660

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.