Colorado River Primary Care, Inc
NPI 1669146536 · Internal Medicine Physician · Fort Mohave, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Colorado River Primary Care, Inc is a Internal Medicine Physician organization in Fort Mohave, AZ (NPI 1669146536).
Provider details
- NPI number
- 1669146536
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wantzy Cooper, President(928) 248-0518
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Other names (DBA / former)
- Doing business as
- Tri State Primary Care
Registry dates
- Enumerated
- 2021-08-04
- Last updated
- 2024-03-04
- Certified
- 2024-03-04
Frequently asked questions
- What is Colorado River Primary Care, Inc's NPI number?
- Colorado River Primary Care, Inc's National Provider Identifier (NPI) is 1669146536, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Colorado River Primary Care, Inc?
- Colorado River Primary Care, Inc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Colorado River Primary Care, Inc located?
- Colorado River Primary Care, Inc's practice location on file with NPPES is 1510 E Wagon Wheel Ln Ste 104, Fort Mohave, AZ 86426-6698.
- What is Colorado River Primary Care, Inc's phone number?
- The practice phone number listed in the NPPES registry for Colorado River Primary Care, Inc is (928) 248-0518.
- Does Colorado River Primary Care, Inc accept Medicare?
- Colorado River Primary Care, Inc 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 Colorado River Primary Care, Inc?
- The authorized official listed on Colorado River Primary Care, Inc's NPPES record is Wantzy Cooper, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Colorado River Primary Care, Inc's NPI active?
- Yes — Colorado River Primary Care, Inc's NPI (1669146536) is active in the NPPES registry as of the last update on 2024-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.