OrganizationActive
Wickenburg Healthcare Alliance Inc
NPI 1063780583 · Family Medicine Physician · Wickenburg, AZ
Provider details
- NPI number
- 1063780583
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Matlock, President(928) 684-7255
- License
- AZ4277 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
108 N Frontier St
Wickenburg, AZ 85390-4411
Phone: (928) 684-7255
Street-level locationGet directions
Mailing address
108 N Frontier Street
Wickenburg, AZ 85390-4411
Other names (DBA / former)
- Doing business as
- Wha Medical
Registry dates
- Enumerated
- 2011-12-12
- Last updated
- 2012-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.