Organization · Type 2 NPI
County of Yavapai
Federally Qualified Health Center (FQHC) · Ash Fork, AZ
NPI number
1811879455
Active
Practice location
112 West Park Avenue
Ash Fork, AZ 86320
Mailing address
1090 Commerce Dr
Prescott, AZ 86305-3700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | None listed |
| Public Health or Welfare Agency | 251K00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
About NPI 1811879455
County of Yavapai's National Provider Identifier is 1811879455, issued on Jul 24, 2025. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Ash Fork, AZ. The record was last updated on Oct 20, 2026.