OrganizationActive
Arizona Grand Medical Center PLLC
NPI 1619998705 · Multi-Specialty Clinic/Center · Prescott, AZ
Provider details
- NPI number
- 1619998705
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Arizona Grand Medical Center PLLC
- Authorized official
- Melissa Mayoral, Accounts Manager
Practice location
3777 Crossings Dr
Prescott, AZ 86305-7121
Phone: (623) 934-5600
Fax: (623) 934-5603
Mailing address
Po Box 47729
Phoenix, AZ 85068-7729
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 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.