| Byrd Family Medical Center, Llc | |
|
14 E Tumbleweed Ln Taylor AZ 85939 | |
| (928) 457-2019 | |
| (833) 944-1884 |
| Full Name | Byrd Family Medical Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14 E Tumbleweed Ln, Taylor, Arizona |
| Authorized Official Name and Position | Ronald J Byrd (OWNER/PROVIDER) |
| Authorized Official Contact | 9284572019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Byrd Family Medical Center, Llc Po Box 1295 Taylor AZ 85939-1295 Ph: (928) 243-8377 | Byrd Family Medical Center, Llc 14 E Tumbleweed Ln Taylor AZ 85939 Ph: (928) 457-2019 |
| NPI Number | 1487145835 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 05/05/2022 |
| Medicare PECOS PAC ID | 8729333455 |
|---|---|
| Medicare Enrollment ID | O20180620001277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487145835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AP3061 (Arizona) | Primary |
| Provider Name | Ronald Joe Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336396415 PECOS PAC ID: 9133297740 Enrollment ID: I20180620001361 |
| Provider Name | Alison Iverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003570128 PECOS PAC ID: 8022408103 Enrollment ID: I20211203001155 |
Northern Arizona Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 E Tumbleweed Lane, Taylor, AZ 85939 Phone: 928-243-6881 |