OrganizationActive
Country Doctor Inc
NPI 1821550310 · Primary Care Clinic/Center · Peoria, AZ
Country Doctor Inc is a Primary Care Clinic/Center organization in Peoria, AZ (NPI 1821550310).
Provider details
- NPI number
- 1821550310
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Manganelli, President(623) 815-0827
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
13260 N 94th Dr Ste 102
Peoria, AZ 85381-4242
Phone: (623) 815-0827
Fax: (623) 875-0325
Street-level locationGet directions
Mailing address
13260 N 94th Dr Ste 102
Peoria, AZ 85381-4242
Registry dates
- Enumerated
- 2019-04-03
- Last updated
- 2019-04-11
Frequently asked questions
- What is Country Doctor Inc's NPI number?
- Country Doctor Inc's National Provider Identifier (NPI) is 1821550310, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Doctor Inc?
- Country Doctor Inc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Country Doctor Inc located?
- Country Doctor Inc's practice location on file with NPPES is 13260 N 94th Dr Ste 102, Peoria, AZ 85381-4242.
- What is Country Doctor Inc's phone number?
- The practice phone number listed in the NPPES registry for Country Doctor Inc is (623) 815-0827.
- Who is the authorized official for Country Doctor Inc?
- The authorized official listed on Country Doctor Inc's NPPES record is Paul Manganelli, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Doctor Inc's NPI active?
- Yes — Country Doctor Inc's NPI (1821550310) is active in the NPPES registry as of the last update on 2019-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.