Organization · Type 2 NPI

Arizona Grand Medical Center PLLC

Multi-Specialty Clinic/Center · Prescott, AZ

NPI number 1619998705 Active

Practice location

3777 Crossings Dr
Prescott, AZ 86305-7121

Call (623) 934-5600 Map

Fax (623) 934-5603

Mailing address

PO Box 47729
Phoenix, AZ 85068-7729

Other practice locations

3769 Crossings Dr Ste A, Prescott, AZ 86305-7270 · (928) 771-9314

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

2 other providers at this address

Arizona Grand Medical Center PLLCMulti-Specialty Clinic/Center Prescott, AZ NPI 1003111378
Ketan Jani, MDPulmonary Disease Physician Prescott, AZ NPI 1679575054

Other multi-specialty clinic/center providers in Prescott

See all in Prescott →

NPI record

NPI: 1619998705
Entity type: Organization (Type 2)
Issued: Jul 22, 2006
Last updated: Sep 2, 2025
Status: Active
Subpart: Yes of Arizona Grand Medical Center PLLC

Other names

<unavail>
Dewey Medical Center · doing business as

Authorized official

Melissa Mayoral
Accounts Manager
(602) 820-4709

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619998705

Arizona Grand Medical Center PLLC's National Provider Identifier is 1619998705, issued on Jul 22, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Prescott, AZ. The record was last updated on Sep 2, 2025.