| Pleasant Valley Community Medical Center | |
|
124 N Tewksbury Blvd Young AZ 85554 | |
| (928) 462-3435 | |
| (928) 462-6644 |
| Full Name | Pleasant Valley Community Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 124 N Tewksbury Blvd, Young, Arizona |
| Authorized Official Name and Position | Neal D. Jensen (CFO) |
| Authorized Official Contact | 9284253261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleasant Valley Community Medical Center Po Box 177 Young AZ 85554-0177 Ph: (928) 462-3435 | Pleasant Valley Community Medical Center 124 N Tewksbury Blvd Young AZ 85554 Ph: (928) 462-3435 |
| NPI Number | 1811962848 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 08/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811962848 | NPI | - | NPPES |
| 934419 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | OTC 0508 (Arizona) | Primary |
Pleasant Valley Community Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 124 N Tewskbury Blvd, Young, AZ 85554 Phone: 928-462-3435 Fax: 928-462-6644 |