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MINGUS MOUNTAIN PRIMARY CARE PLLC
NPI 1245991785
Family Medicine in Cottonwood, AZ

Active since January 06, 2022CLIA 03D2257956 · Waiver
450 S WILLARD ST STE 107, COTTONWOOD, AZ 86326(928) 848-6161 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2023, Mar 2, 2022, Jan 6, 2022 (3 updates tracked since 2022).

About Mingus Mountain Primary Care Pllc NPPES

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

MINGUS MOUNTAIN PRIMARY CARE PLLC (NPI 1245991785) is a healthcare organization registered as a family medicine in Cottonwood, Arizona and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists Michael Aranda, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1245991785
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMINGUS MOUNTAIN PRIMARY CARE PLLC
Location Address450 S WILLARD ST STE 107Cottonwood, AZ 86326-6744
Mailing Address450 S Willard St Ste 107Cottonwood, AZ 86326-6744 · (928) 649-6080 · Fax (928) 649-6091
Phone(928) 848-6161
Organization SubpartNo
Authorized OfficialMichael ArandaProvider/owner · (928) 308-3541
Enumeration DateJanuary 6, 2022
Last NPPES UpdateMarch 2, 20233 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1245991785 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.
450 S WILLARD ST STE 107, Cottonwood, AZ 86326
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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 03D2257956

Mingus Mountain Primary Care, PLLC · Cottonwood, AZ
Active · expires Apr 12, 2028
CLIA Number03D2257956
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorMichael A. Aranda
Laboratory Phone(928) 649-6080
Laboratory LocationMingus Mountain Primary Care, PLLC450 S Willard St Ste 107, Cottonwood, AZ 86326
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mingus Mountain Primary Care PLLC's NPI number?

The NPI number for Mingus Mountain Primary Care PLLC is 1245991785. It was assigned to this organization in the NPPES registry on January 6, 2022.

Where is Mingus Mountain Primary Care PLLC located?

Mingus Mountain Primary Care PLLC is located at 450 S Willard St Ste 107, Cottonwood, AZ 86326. The listed phone number is (928) 848-6161.

What is Mingus Mountain Primary Care PLLC's specialty?

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

Does Mingus Mountain Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2257956) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mingus Mountain Primary Care PLLC was last updated on March 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.