| Pleasant Valley Community Medical Center | |
|
124 N Tewskbury Blvd Young AZ 85554-0000 | |
| (928) 462-3435 | |
| (928) 462-6644 |
| Full Name | Pleasant Valley Community Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 124 N Tewskbury Blvd, Young, Arizona |
| Authorized Official Name and Position | Neal D Jensen (CEO) |
| Authorized Official Contact | 9284253261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleasant Valley Community Medical Center Po Box 177 Young AZ 85554-0000 Ph: (928) 462-3435 | Pleasant Valley Community Medical Center 124 N Tewskbury Blvd Young AZ 85554-0000 Ph: (928) 462-3435 |
| NPI Number | 1497021844 |
|---|---|
| Provider Enumeration Date | 03/30/2012 |
| Last Update Date | 01/30/2013 |
| Medicare PECOS PAC ID | 0648181693 |
|---|---|
| Medicare Enrollment ID | O20030925000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497021844 | NPI | - | NPPES |
| 371306 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H0126 (Arizona) | Primary |
Pleasant Valley Community Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 N Tewksbury Blvd, Young, AZ 85554 Phone: 928-462-3435 Fax: 928-462-6644 |