SNOWFLAKE MEDICAL CENTER, PC
NPI 1144291915
Family Medicine in Snowflake, AZ

Q: What is Snowflake Medical Center, PC's NPI number?

The NPI number for Snowflake Medical Center, PC is 1144291915. It was assigned to this organization in the NPPES registry on January 30, 2006.

Q: What is Snowflake Medical Center, PC's specialty?

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

Active since January 30, 2006CLIA 03D0879910 · Waiver

590 S MAIN ST, SNOWFLAKE, AZ 85937(928) 536-7519(928) 536-7305 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Snowflake Medical Center, Pc NPPES

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

SNOWFLAKE MEDICAL CENTER, PC (NPI 1144291915) is a healthcare organization registered as a family medicine in Snowflake, Arizona and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Mindy Zech, Npi, as its authorized official.

NPPES Registry Identity

NPI1144291915

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSNOWFLAKE MEDICAL CENTER, PC

Location Address590 S MAIN STSnowflake, AZ 85937-5228

Mailing Address590 S Main StSnowflake, AZ 85937-5228 · (928) 536-7519 · Fax (928) 536-7305

Phone(928) 536-7519

Fax(928) 536-7305

Organization SubpartNo

Authorized OfficialMindy ZechNpi · (928) 537-6567

Enumeration DateJanuary 30, 2006

Last NPPES UpdateOctober 24, 2007

✔ NPI 1144291915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

590 S MAIN ST, Snowflake, AZ 85937

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Other Identifiers 1

Medicare ID-Type UnspecifiedWCLDG

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

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 03D0879910

Snowflake Medical Center · Snowflake, AZ

Active · expires May 9, 2027

CLIA Number03D0879910

Laboratory TypePhysician Office

Certificate Effective DateMay 10, 2025

Certificate Expiration DateMay 9, 2027

Laboratory DirectorDr. Randal Shumway

Laboratory Phone(928) 536-7519

Laboratory LocationSnowflake Medical Center590 S Main Street, Snowflake, AZ 85937

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

ALAN N DEWITT M.D.

Family Medicine