What is Grapevine Clinic LLC's NPI number?

Grapevine Clinic LLC's National Provider Identifier (NPI) is 1164731030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Grapevine Clinic LLC?

Grapevine Clinic LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Grapevine Clinic LLC located?

Grapevine Clinic LLC's practice location on file with NPPES is 5300 S Highway 95, Fort Mohave, AZ 86426-9251.

What is Grapevine Clinic LLC's phone number?

The practice phone number listed in the NPPES registry for Grapevine Clinic LLC is (928) 788-6060.

Does Grapevine Clinic LLC accept Medicare?

Grapevine Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for Grapevine Clinic LLC?

The authorized official listed on Grapevine Clinic LLC's NPPES record is Kaye Cunningham, Owner/Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Grapevine Clinic LLC's NPI active?

Yes — Grapevine Clinic LLC's NPI (1164731030) is active in the NPPES registry as of the last update on 2010-09-27.

OrganizationActiveAccepts Medicare

Grapevine Clinic LLC

NPI 1164731030 · Family Medicine Physician · Fort Mohave, AZ

Grapevine Clinic LLC is a Family Medicine Physician organization in Fort Mohave, AZ (NPI 1164731030).

Provider details

NPI number: 1164731030
Entity type: Organization
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Kaye Cunningham, Owner/Member(928) 788-6060
License: 28326 (AZ)

Practice location

5300 S Highway 95

Suite H

Fort Mohave, AZ 86426-9251

Phone: (928) 788-6060

Fax: (928) 788-6062

Street-level locationGet directions

More AZ providers

Mailing address

Po Box 8670

Fort Mohave, AZ 86427-8670

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000XLicense 28326 (AZ)
Allopathic & Osteopathic Physicians

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(83/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
16 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.

Enumerated: 2010-09-27
Last updated: 2010-09-27

Frequently asked questions

What is Grapevine Clinic LLC's NPI number?: Grapevine Clinic LLC's National Provider Identifier (NPI) is 1164731030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Grapevine Clinic LLC?: Grapevine Clinic LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
Where is Grapevine Clinic LLC located?: Grapevine Clinic LLC's practice location on file with NPPES is 5300 S Highway 95, Fort Mohave, AZ 86426-9251.
What is Grapevine Clinic LLC's phone number?: The practice phone number listed in the NPPES registry for Grapevine Clinic LLC is (928) 788-6060.
Does Grapevine Clinic LLC accept Medicare?: Grapevine Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Grapevine Clinic LLC?: The authorized official listed on Grapevine Clinic LLC's NPPES record is Kaye Cunningham, Owner/Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Grapevine Clinic LLC's NPI active?: Yes — Grapevine Clinic LLC's NPI (1164731030) is active in the NPPES registry as of the last update on 2010-09-27.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions