VILLAGE CLINIC LLC
NPI 1386521607
Clinic/Center - Primary Care in Sedona, AZ

Active since August 19, 2025CLIA Certified · 2 labs
56 W CORTEZ DR, SEDONA, AZ 86351(928) 713-3482 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Village Clinic Llc NPPES

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

VILLAGE CLINIC LLC (NPI 1386521607) is a healthcare organization registered as a primary care in Sedona, Arizona and active in the NPI registry since August 2025. The organization holds 2 active CLIA laboratory certificates and lists Cory Davidson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386521607
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVILLAGE CLINIC LLC
Location Address56 W CORTEZ DRSedona, AZ 86351-9087
Mailing Address56 W Cortez DrSedona, AZ 86351-9087
Organization SubpartNo
Authorized OfficialCory DavidsonCeo · (602) 821-1390
Enumeration DateAugust 19, 2025
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
NPI 1386521607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedPoint of ServiceTaxonomy 305S00000X
56 W CORTEZ DR, Sedona, AZ 86351

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 03D2335092

Village Clinic · Sedona, AZ
Active · expires Dec 4, 2027
CLIA Number03D2335092
Laboratory TypePractitioner Other
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorNorma Erivez
Laboratory Phone(602) 821-1390
Laboratory LocationVillage Clinic56 W Cortez Dr, Sedona, AZ 86351
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2335100

Village Clinic 2 · Sedona, AZ
Active · expires Dec 4, 2027
CLIA Number03D2335100
Laboratory TypePractitioner Other
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorTracy Real
Laboratory Phone(928) 713-3482
Laboratory LocationVillage Clinic 256 W Cortez Dr, Sedona, AZ 86351
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 2

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

Clinic/Center (Rural Health)
56 W CORTEZ DR
SEDONA, AZ 86351
Family Medicine
56 W CORTEZ DR
SEDONA, AZ 86351

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 Village Clinic LLC's NPI number?

The NPI number for Village Clinic LLC is 1386521607. It was assigned to this organization in the NPPES registry on August 19, 2025.

Where is Village Clinic LLC located?

Village Clinic LLC is located at 56 W Cortez Dr, Sedona, AZ 86351. The listed phone number is (928) 713-3482.

What is Village Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Village Clinic 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 Village Clinic LLC was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.