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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: August 09, 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
Phone(928) 684-7255
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
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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.

CHERYL WOLFE-RUIZ P.A.-C
Physician Assistant (Medical)
108 N FRONTIER ST
WICKENBURG, AZ 85390
Maricopa County (928) 684-7255

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 Wickenburg Healthcare Alliance Inc's NPI number?

The NPI number for Wickenburg Healthcare Alliance Inc is 1063780583. It was assigned to this organization in the NPPES registry on December 12, 2011. The provider is doing business as Wha Medical.

Where is Wickenburg Healthcare Alliance Inc located?

Wickenburg Healthcare Alliance Inc is located at 108 N Frontier St, Wickenburg, AZ 85390. The listed phone number is (928) 684-7255.

What is Wickenburg Healthcare Alliance Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wickenburg Healthcare Alliance Inc was last updated on January 30, 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.