Provider Demographics
NPI:1164144846
Name:JAMES MARCO HEALTH LLC
Entity Type:Organization
Organization Name:JAMES MARCO HEALTH LLC
Other - Org Name:WHITNEY JAMES MD PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-577-6554
Mailing Address - Street 1:1231 WILLOW CREEK RD STE B
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-1405
Mailing Address - Country:US
Mailing Address - Phone:928-212-1479
Mailing Address - Fax:844-380-3489
Practice Address - Street 1:1231 WILLOW CREEK RD STE B
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-1405
Practice Address - Country:US
Practice Address - Phone:928-212-1479
Practice Address - Fax:844-380-3489
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHITNEY JAMES, MD, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-19
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center