GRANT CLINIC LLC
NPI 1528490968
Anesthesiology - Addiction Medicine in Payson, AZ

Active since August 08, 2013
708 S COEUR D ALENE LN, SUITE D, PAYSON, AZ 85541(925) 468-1337(928) 468-1339 Get Directions Write a Review

NPPES record last updated: August 8, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Grant Clinic Llc NPPES

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

GRANT CLINIC LLC (NPI 1528490968) is a healthcare organization registered as an addiction medicine in Payson, Arizona and active in the NPI registry since August 2013. The organization lists Marc B Grant, President, as its authorized official.

NPPES Registry Identity

NPI1528490968
Entity TypeOrganization
Primary Taxonomy207LA0401X
Legal Business NameGRANT CLINIC LLC
Location Address708 S COEUR D ALENE LN, SUITE DPayson, AZ 85541-5662
Mailing Address708 S Coeur D Alene Ln, Suite DPayson, AZ 85541-5662 · (925) 468-1337 · Fax (928) 468-1339
Fax(928) 468-1339
Organization SubpartNo
Authorized OfficialMarc B GrantPresident · (928) 468-1337
Enumeration DateAugust 8, 2013
NPI 1528490968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LA0401X
License Licensed in AZ · 1609
Definition
An anesthesiologist who specializes in the diagnosis and treatment of addictions.
708 S COEUR D ALENE LN, Payson, AZ 85541

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

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.

Anesthesiology (Pain Medicine)
708 S COEUR D ALENE LN, SUITE D
PAYSON, AZ 85541
Anesthesiology (Pain Medicine)
708 S COEUR D ALENE LN
PAYSON, AZ 85541

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 Grant Clinic LLC's NPI number?

The NPI number for Grant Clinic LLC is 1528490968. It was assigned to this organization in the NPPES registry on August 8, 2013.

Where is Grant Clinic LLC located?

Grant Clinic LLC is located at 708 S Coeur D Alene Ln Suite D, Payson, AZ 85541. The listed phone number is (925) 468-1337.

What is Grant Clinic LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

When was this NPI record last updated?

The NPPES record for Grant Clinic LLC was last updated on August 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.