Arizona Grand Medical Center PLLC
NPI 1619998705 · Multi-Specialty Clinic/Center · Prescott, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Arizona Grand Medical Center PLLC is a Multi-Specialty Clinic/Center organization in Prescott, AZ (NPI 1619998705).
Provider details
- NPI number
- 1619998705
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Arizona Grand Medical Center PLLC
- Organization subpart
- Yes
- Authorized official
- Melissa Mayoral, Accounts Manager(602) 820-4709
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Dewey Medical Center
Additional practice locations (1)
- 3769 Crossings Dr Ste aPrescott, AZ 86305-7270Phone: (928) 771-9314Fax: (888) 370-5093
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2025-09-02
- Certified
- 2025-02-12
Frequently asked questions
- What is Arizona Grand Medical Center PLLC's NPI number?
- Arizona Grand Medical Center PLLC's National Provider Identifier (NPI) is 1619998705, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Arizona Grand Medical Center PLLC?
- Arizona Grand Medical Center PLLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Arizona Grand Medical Center PLLC located?
- Arizona Grand Medical Center PLLC's practice location on file with NPPES is 3777 Crossings Dr, Prescott, AZ 86305-7121.
- What is Arizona Grand Medical Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Arizona Grand Medical Center PLLC is (623) 934-5600.
- Does Arizona Grand Medical Center PLLC accept Medicare?
- Arizona Grand Medical Center PLLC 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 Arizona Grand Medical Center PLLC?
- The authorized official listed on Arizona Grand Medical Center PLLC's NPPES record is Melissa Mayoral, Accounts Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Arizona Grand Medical Center PLLC's NPI active?
- Yes — Arizona Grand Medical Center PLLC's NPI (1619998705) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.