Provider Demographics
NPI:1013037951
Name:FAMILY HEALTH PROVIDERS, LTD.
Entity Type:Organization
Organization Name:FAMILY HEALTH PROVIDERS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-634-5551
Mailing Address - Street 1:199 S CANDY LN
Mailing Address - Street 2:STE. 1A
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-4183
Mailing Address - Country:US
Mailing Address - Phone:928-634-5551
Mailing Address - Fax:928-634-5604
Practice Address - Street 1:199 S CANDY LN
Practice Address - Street 2:STE. 1A
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-4183
Practice Address - Country:US
Practice Address - Phone:928-634-5551
Practice Address - Fax:928-634-5604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15540207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZWCKJTMedicare ID - Type Unspecified