1801924469 NPI number — KAREN F ARCOTTA MD LTD

Table of content: (NPI 1801924469)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801924469 NPI number — KAREN F ARCOTTA MD LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KAREN F ARCOTTA MD LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801924469
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1520 E HAMMER LN
Provider Second Line Business Mailing Address:
SUITE 105
Provider Business Mailing Address City Name:
FORT MOHAVE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
86426-6664
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
928-788-9494
Provider Business Mailing Address Fax Number:
928-788-9495

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1520 E HAMMER LN
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
FORT MOHAVE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86426-6664
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-788-9494
Provider Business Practice Location Address Fax Number:
928-788-9495
Provider Enumeration Date:
03/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ARCOTTA
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
F
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
928-788-9494

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  15646 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com