CENTENNIAL PARK CLINIC
NPI 1265500656
Nurse Practitioner - Family in Colorado City, AZ

Q: What is Willow Oak, Inc.'s NPI number?

The NPI number for Willow Oak, Inc. is 1265500656. It was assigned to this organization in the NPPES registry on December 1, 2006. The provider is doing business as Centennial Park Clinic.

Q: What is Willow Oak, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Willow Oak, Inc. was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since December 01, 2006

1675 S. BERRY KNOLL BLVD, COLORADO CITY, AZ 86021(928) 875-8750(928) 875-8752 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Centennial Park Clinic NPPES

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

CENTENNIAL PARK CLINIC (NPI 1265500656) is a healthcare organization registered as a family in Colorado City, Arizona and active in the NPI registry since December 2006. The organization lists Joanne Timpson Yarrish, General Manager, as its authorized official.

NPPES Registry Identity

NPI1265500656

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameWILLOW OAK, INC.

Location Address1675 S. BERRY KNOLL BLVDColorado City, AZ 86021-1549

Mailing AddressPo Box 1549Colorado City, AZ 86021-1549 · (928) 875-8750 · Fax (928) 875-8752

Phone(928) 875-8750

Fax(928) 875-8752

Organization SubpartNo

Authorized OfficialJoanne Timpson YarrishGeneral Manager · (928) 875-8750

Enumeration DateDecember 1, 2006

Last NPPES UpdateJune 13, 2008

✔ NPI 1265500656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · RN083151

1675 S. BERRY KNOLL BLVD, Colorado City, AZ 86021

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Other Names 1

Doing Business AsCentennial Park Clinic

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

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 Willow Oak, Inc.'s NPI number?

The NPI number for Willow Oak, Inc. is 1265500656. It was assigned to this organization in the NPPES registry on December 1, 2006. The provider is doing business as Centennial Park Clinic.

Where is Willow Oak, Inc. located?

Willow Oak, Inc. is located at 1675 S. Berry Knoll Blvd, Colorado City, AZ 86021. The listed phone number is (928) 875-8750.

What is Willow Oak, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Willow Oak, Inc. was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.