| Davis Whole Family Health Pllc | |
|
2705 N 4th St Flagstaff AZ 86004-1846 | |
| (619) 218-9490 | |
| Not Available |
| Full Name | Davis Whole Family Health Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2705 N 4th St, Flagstaff, Arizona |
| Authorized Official Name and Position | Bethany Davis (CMO) |
| Authorized Official Contact | 6192189490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Whole Family Health Pllc Po Box 939 Flagstaff AZ 86002-0939 Ph: (619) 218-9490 | Davis Whole Family Health Pllc 2705 N 4th St Flagstaff AZ 86004-1846 Ph: (619) 218-9490 |
| NPI Number | 1275232654 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 07/15/2023 |
| Medicare PECOS PAC ID | 5395192637 |
|---|---|
| Medicare Enrollment ID | O20231108003001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275232654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Bethany A Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982048856 PECOS PAC ID: 2668615998 Enrollment ID: I20160728000941 |
| Provider Name | Krissie Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750856621 PECOS PAC ID: 5193060622 Enrollment ID: I20190102001964 |
| Provider Name | Jessica Holst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134864754 PECOS PAC ID: 9931578481 Enrollment ID: I20221206001318 |
North Country Healthcare-ponderosa Hs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2384 N Steves Blvd, Flagstaff, AZ 86004 Phone: 928-522-9410 Fax: 928-522-9411 | |
Aspen Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2912 N West St, Flagstaff, AZ 86004 Phone: 928-774-3627 Fax: 927-774-1400 | |
Ryan Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 E Oak Ave, Suite 202, Flagstaff, AZ 86001 Phone: 928-773-2560 Fax: 928-913-8835 | |
Vasco Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 N Switzer Canyon Dr Ste 201, Flagstaff, AZ 86001 Phone: 602-346-0204 | |
Native Americans For Community Action, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 E Cedar Ave, Ste 26, Flagstaff, AZ 86004 Phone: 928-773-1245 Fax: 928-773-9429 | |
North Country Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-213-6121 Fax: 928-774-6687 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2920 N. 4th Street, Flagstaff, AZ 86004 Phone: 928-522-9400 Fax: 928-774-6687 |