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PETRIFIED FOREST MEDICAL CENTER
NPI 1215585807
Clinic/Center in Holbrook, AZ

Active since August 28, 2019
500 E IOWA ST, HOLBROOK, AZ 86025(928) 524-3913 Get Directions Write a Review

NPPES record last updated: September 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2019, Aug 28, 2019 (2 updates tracked since 2019).

About Petrified Forest Medical Center NPPES

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

PETRIFIED FOREST MEDICAL CENTER (NPI 1215585807) is a healthcare organization registered as a clinic/center in Holbrook, Arizona and active in the NPI registry since August 2019. The organization lists Justin Hickman, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1215585807
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVITEGENT HEALTHCARE INC.
Location Address500 E IOWA STHolbrook, AZ 86025-2750
Mailing Address8 The Grn Ste 10294Dover, DE 19901-3618 · (302) 724-6217
Phone(928) 524-3913
Organization SubpartNo
Authorized OfficialJustin HickmanPresident And Ceo · (302) 724-6217
Enumeration DateAugust 28, 2019
Last NPPES UpdateSeptember 18, 20192 updates tracked since enumeration
✔ NPI 1215585807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
500 E IOWA ST, Holbrook, AZ 86025
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Other Names 1

Doing Business AsPetrified Forest Medical Center

Other Providers at the Same Location NPPES 3

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

HOLBROOK URGENT CARE, LLC
Clinic/Center (Urgent Care)
500 E IOWA ST
HOLBROOK, AZ 86025
Navajo County (928) 524-3913
ANDREW MAESTAS MD
Internal Medicine
500 E IOWA ST
HOLBROOK, AZ 86025
Navajo County (928) 524-3913
PETRIFIED FOREST MEDICAL CENTER. INC.
Internal Medicine
500 E IOWA ST
HOLBROOK, AZ 86025
Navajo County (928) 524-3913

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 Vitegent Healthcare Inc.'s NPI number?

The NPI number for Vitegent Healthcare Inc. is 1215585807. It was assigned to this organization in the NPPES registry on August 28, 2019. The provider is doing business as Petrified Forest Medical Center.

Where is Vitegent Healthcare Inc. located?

Vitegent Healthcare Inc. is located at 500 E Iowa St, Holbrook, AZ 86025. The listed phone number is (928) 524-3913.

What is Vitegent Healthcare Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Vitegent Healthcare Inc. was last updated on September 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.