| Family Medical Center Pllc | |
|
1492 S 20th Ave Safford AZ 85546-4052 | |
| (928) 348-2151 | |
| (928) 428-3617 |
| Full Name | Family Medical Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1492 S 20th Ave, Safford, Arizona |
| Authorized Official Name and Position | Joel G Wright (DOCTOR) |
| Authorized Official Contact | 9283482151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center Pllc 1492 S 20th Ave Safford AZ 85546-4052 Ph: (928) 348-2151 | Family Medical Center Pllc 1492 S 20th Ave Safford AZ 85546-4052 Ph: (928) 348-2151 |
| NPI Number | 1417125444 |
|---|---|
| Provider Enumeration Date | 02/12/2008 |
| Last Update Date | 01/11/2022 |
| Medicare PECOS PAC ID | 8123198314 |
|---|---|
| Medicare Enrollment ID | O20080530000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417125444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Clinton D Damron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659300846 PECOS PAC ID: 8527061092 Enrollment ID: I20060823000275 |
| Provider Name | Joel Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821187303 PECOS PAC ID: 4284705872 Enrollment ID: I20080722000368 |
| Provider Name | Matthew R Sampson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699881821 PECOS PAC ID: 9335203108 Enrollment ID: I20090722000494 |
| Provider Name | Trina S Gomm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356594022 PECOS PAC ID: 4880812973 Enrollment ID: I20140903001079 |
| Provider Name | Candice Helen Damron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235839580 PECOS PAC ID: 2062873631 Enrollment ID: I20230728001647 |
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