| Mohave Family Healthcare | |
|
1611 E Joy Ln Fort Mohave AZ 86426-8807 | |
| (928) 768-9496 | |
| (928) 768-1943 |
| Full Name | Mohave Family Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 1611 E Joy Ln, Fort Mohave, Arizona |
| Authorized Official Name and Position | William Brian Womack (D.O./OWNER) |
| Authorized Official Contact | 9287689496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohave Family Healthcare Po Box 9479 Fort Mohave AZ 86427-9479 Ph: (928) 768-9496 | Mohave Family Healthcare 1611 E Joy Ln Fort Mohave AZ 86426-8807 Ph: (928) 768-9496 |
| NPI Number | 1043369168 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 04/05/2019 |
| Medicare PECOS PAC ID | 2860575941 |
|---|---|
| Medicare Enrollment ID | O20080213000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043369168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3527 (Arizona) | Primary |
| Provider Name | Jennifer L Womack |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205931839 PECOS PAC ID: 7012945835 Enrollment ID: I20050802000446 |
| Provider Name | William B Womack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679678205 PECOS PAC ID: 1850348343 Enrollment ID: I20080213000328 |
| Provider Name | Diana S Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144740036 PECOS PAC ID: 4587939897 Enrollment ID: I20171011003245 |
| Provider Name | Dayna L Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548825789 PECOS PAC ID: 8022342450 Enrollment ID: I20190619000019 |
| Provider Name | Jenny L Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184102097 PECOS PAC ID: 0941551998 Enrollment ID: I20200616003566 |
| Provider Name | Larry L Bousquet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205544871 PECOS PAC ID: 6204206204 Enrollment ID: I20230109002573 |
Vista Health Mirza Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426 Phone: 928-768-2558 Fax: 928-768-2874 | |
Kaye A Cunningham Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 Phone: 928-768-2558 Fax: 928-788-2039 | |
Gi Institute Of Arizona Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 E Hammer Ln Ste 101, Fort Mohave, AZ 86426 Phone: 928-768-4333 Fax: 928-768-4338 | |
Grapevine Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5300 S Highway 95, Suite H, Fort Mohave, AZ 86426 Phone: 928-788-6060 Fax: 928-788-6062 | |
Blue River Health & Wellness, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1520 E Hammer Ln Ste 104, Fort Mohave, AZ 86426 Phone: 602-315-0211 | |
Hendrix Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 Joy Ln, Fort Mohave, AZ 86426 Phone: 928-788-1900 Fax: 928-788-2048 |