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MT GRAHAM HOME HEALTH
NPI 1003174715
Home Health in Safford, AZ

Active since May 01, 2012CLIA 03D2106083 · Waiver
1600 S 20TH AVE BLDG E, SAFFORD, AZ 85546(928) 428-5668(928) 348-3868 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mt Graham Home Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MT GRAHAM HOME HEALTH (NPI 1003174715) is a healthcare organization registered as a home health in Safford, Arizona and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Jill Denice Heinrich, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003174715
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMT GRAHAM REGIONAL MEDICAL CENTER INC
Location Address1600 S 20TH AVE BLDG ESafford, AZ 85546-4011
Mailing Address1600 S 20th Ave Bldg ESafford, AZ 85546-4011 · (928) 348-5668 · Fax (928) 348-3868
Phone(928) 428-5668
Fax(928) 348-3868
Organization SubpartYes
Authorized OfficialJill Denice HeinrichAdministrator · (928) 428-5668
Enumeration DateMay 1, 2012
Last NPPES UpdateMay 3, 2012
✔ NPI 1003174715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in AZ · HHA-210
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1600 S 20TH AVE BLDG E, Safford, AZ 85546
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Other Names 1

Doing Business AsMt Graham Home Health

Other Identifiers 3

Medicare OSCAR/certification037294AZ
Medicare PIN037294AZ
Medicaid317786AZ

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2106083

Mt Graham Regional Medical Center - Copper Mountain Clinic · Safford, AZ
Active · expires Dec 9, 2027
CLIA Number03D2106083
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorChristopher P. Gilles
Laboratory Phone(928) 248-4216
Laboratory LocationMt Graham Regional Medical Center - Copper Mountain Clinic2175 W 16th St Ste D, Safford, AZ 85546
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENNE HEINRICH
Physical Therapist
1600 S 20TH AVE BLDG E
SAFFORD, AZ 85546
Graham County (928) 651-5359
JESSE BACIGALUPI DPT
Physical Therapist
1600 S 20TH AVE BLDG E
SAFFORD, AZ 85546
Graham County (928) 348-4047

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mt Graham Regional Medical Center Inc's NPI number?

The NPI number for Mt Graham Regional Medical Center Inc is 1003174715. It was assigned to this organization in the NPPES registry on May 1, 2012. The provider is doing business as Mt Graham Home Health.

Where is Mt Graham Regional Medical Center Inc located?

Mt Graham Regional Medical Center Inc is located at 1600 S 20th Ave Bldg E, Safford, AZ 85546. The listed phone number is (928) 428-5668.

What is Mt Graham Regional Medical Center Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Mt Graham Regional Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2106083) is associated with this NPI, valid through December 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mt Graham Regional Medical Center Inc was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.