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SIERRA VISTA MEDICAL GROUP INTERNAL MEDICINE
NPI 1336910488
Clinic/Center - Rural Health in Sierra Vista, AZ

Active since January 09, 2024CLIA Certified · 2 labs
5750 E HIGHWAY 90 STE 200, SIERRA VISTA, AZ 85635(520) 263-3762 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sierra Vista Medical Group Internal Medicine NPPES

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

SIERRA VISTA MEDICAL GROUP INTERNAL MEDICINE (NPI 1336910488) is a healthcare organization registered as a rural health in Sierra Vista, Arizona and active in the NPI registry since January 2024. The organization holds 2 active CLIA laboratory certificates and lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1336910488
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSIERRA VISTA REGIONAL HEALTH CENTER MEDICAL GROUP LLC
Location Address5750 E HIGHWAY 90 STE 200Sierra Vista, AZ 85635-9113
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775
Phone(520) 263-3762
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateJanuary 9, 2024
Last NPPES UpdateSeptember 26, 2024
NPPES CertifiedSeptember 26, 2024
✔ NPI 1336910488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
5750 E HIGHWAY 90 STE 200, Sierra Vista, AZ 85635
Open in Google Maps ↗

Other Names 1

Doing Business AsSierra Vista Medical Group Internal Medicine

CLIA Laboratory Certificates CMS CLIA 2

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 03D1099740

Sierra Vista Medical Group-Multispecialty · Sierra Vista, AZ
Active · expires May 19, 2027
CLIA Number03D1099740
Laboratory TypeOther
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorRoberto Molina
Laboratory Phone(520) 263-3500
Laboratory LocationSierra Vista Medical Group-Multispecialty5750 E Hwy 90 Ste 200, Sierra Vista, AZ 85635
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2222004

Sierra Vista Medical Group Family Practice · Sierra Vista, AZ
Active · expires Apr 25, 2027
CLIA Number03D2222004
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorJose Clifton
Laboratory Phone(520) 263-3762
Laboratory LocationSierra Vista Medical Group Family Practice210 El Camino Real A, Sierra Vista, AZ 85635
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

NATHANIEL A PTAK
Podiatrist (Foot & Ankle Surgery)
5750 E HIGHWAY 90 STE 200
SIERRA VISTA, AZ 85635
Cochise County (520) 263-3761
MS. SHERRY ELIZABETH HRON APRN FNP-BC
Nurse Practitioner (Family)
5750 E HIGHWAY 90 STE 200
SIERRA VISTA, AZ 85635
Cochise County (520) 263-3500
JARED LAVELL HAYMORE PA-C
Physician Assistant (Surgical)
5750 E HIGHWAY 90 STE 200
SIERRA VISTA, AZ 85635
Cochise County (520) 263-3500
RISE GOLD APRN, FNP
Nurse Practitioner (Women's Health)
5750 E HIGHWAY 90 STE 200
SIERRA VISTA, AZ 85635
Cochise County (520) 263-3620
MRS. ALYSSA ROSE KNAPP PA-C
Physician Assistant (Medical)
5750 E HIGHWAY 90 STE 200
SIERRA VISTA, AZ 85635
Cochise County (520) 263-3762
MRS. ABBY MARIE ALVAREZ
Physician Assistant
5750 E HIGHWAY 90 STE 200
SIERRA VISTA, AZ 85635
Cochise County (520) 253-3383
DR. FREDERIQUE P. DELHAYE M.D.
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
5750 E HIGHWAY 90 STE 200
SIERRA VISTA, AZ 85635
Cochise County (520) 263-3500
MCKAY REES TINGEY PA-C
Physician Assistant
5750 E HIGHWAY 90 STE 200
SIERRA VISTA, AZ 85635
Cochise County (520) 263-3500

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 Sierra Vista Regional Health Center Medical Group LLC's NPI number?

The NPI number for Sierra Vista Regional Health Center Medical Group LLC is 1336910488. It was assigned to this organization in the NPPES registry on January 9, 2024. The provider is doing business as Sierra Vista Medical Group Internal Medicine.

Where is Sierra Vista Regional Health Center Medical Group LLC located?

Sierra Vista Regional Health Center Medical Group LLC is located at 5750 E Highway 90 Ste 200, Sierra Vista, AZ 85635. The listed phone number is (520) 263-3762.

What is Sierra Vista Regional Health Center Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Sierra Vista Regional Health Center Medical Group LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Sierra Vista Regional Health Center Medical Group LLC was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.