WHA MEDICAL
NPI 1063780583
Family Medicine in Wickenburg, AZ

Active since December 12, 2011
108 N FRONTIER ST, WICKENBURG, AZ 85390(928) 684-7255 Get Directions Write a Review

NPPES record last updated: January 30, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wha Medical NPPES

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

WHA MEDICAL (NPI 1063780583) is a healthcare organization registered as a family medicine in Wickenburg, Arizona and active in the NPI registry since December 2011. The organization lists Thomas A Matlock, President, as its authorized official.

NPPES Registry Identity

NPI1063780583
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWICKENBURG HEALTHCARE ALLIANCE INC
Location Address108 N FRONTIER STWickenburg, AZ 85390-4411
Mailing Address108 N Frontier StreetWickenburg, AZ 85390-4411 · (928) 684-7255 · Fax (623) 691-8113
Organization SubpartNo
Authorized OfficialThomas A MatlockPresident · (928) 684-7255
Enumeration DateDecember 12, 2011
Last NPPES UpdateJanuary 30, 2012
NPI 1063780583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · AZ4277
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

108 N FRONTIER ST, Wickenburg, AZ 85390

Other Names 1

Doing Business AsWha Medical

Other Identifiers 3

Medicare UPINC99936AZ
Medicaid203878AZ
Medicare PIN105757AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
108 N FRONTIER ST
WICKENBURG, AZ 85390

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063780583, enumerated as an "organization" on December 12, 2011.

The provider is located at 108 N FRONTIER ST WICKENBURG, AZ 85390 and the phone number is (928) 684-7255.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.