MEADOW PARK CARE CENTER
NPI 1477635415
Skilled Nursing Facility in Prescott, AZ

Active since October 19, 2006
864 DOUGHERTY ST, PRESCOTT, AZ 86305(928) 778-9667(928) 771-9620 Get Directions Write a Review

NPPES record last updated: July 26, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Meadow Park Care Center NPPES

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

MEADOW PARK CARE CENTER (NPI 1477635415) is a healthcare organization registered as a skilled nursing facility in Prescott, Arizona and active in the NPI registry since October 2006. The organization lists Stan Studer, President, as its authorized official.

NPPES Registry Identity

NPI1477635415
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTHWESTERN MEDICAL CENTERS AZ
Location Address864 DOUGHERTY STPrescott, AZ 86305-1841
Mailing Address864 Dougherty StPrescott, AZ 86305-1841 · (928) 778-9666
Fax(928) 771-9620
Organization SubpartNo
Authorized OfficialStan StuderPresident · (210) 828-5686
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 26, 2007
NPI 1477635415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in AZ · 4602
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
864 DOUGHERTY ST, Prescott, AZ 86305

Other Names 1

Doing Business AsMeadow Park Care Center

Other Identifiers 2

Medicare ID-Type Unspecified035127AZ · Medicare
Medicaid041088AZ

Other Providers at the Same Location NPPES 5

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

Physician Assistant
864 DOUGHERTY ST
PRESCOTT, AZ 86305
Skilled Nursing Facility
864 DOUGHERTY ST
PRESCOTT, AZ 86305
Skilled Nursing Facility
864 DOUGHERTY ST
PRESCOTT, AZ 86305
Clinic/Center (Physical Therapy)
864 DOUGHERTY ST
PRESCOTT, AZ 86305
Physical Therapist (Geriatrics)
864 DOUGHERTY ST
PRESCOTT, AZ 86305

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 Southwestern Medical Centers Az's NPI number?

The NPI number for Southwestern Medical Centers Az is 1477635415. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as Meadow Park Care Center.

Where is Southwestern Medical Centers Az located?

Southwestern Medical Centers Az is located at 864 Dougherty St, Prescott, AZ 86305. The listed phone number is (928) 778-9667.

What is Southwestern Medical Centers Az's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Southwestern Medical Centers Az was last updated on July 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.