FAMILY HEALTH CENTER OF SIERRA VISTA, PC
NPI 1558563114
Family Medicine in Sierra Vista, AZ

Q: What is Family Health Center Of Sierra Vista, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 04, 2007CLIA 03D0671265 · Microscopy

1800 E WILCOX DR, SIERRA VISTA, AZ 85635(520) 459-3116(520) 459-7397 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Family Health Center Of Sierra Vista, Pc NPPES

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

FAMILY HEALTH CENTER OF SIERRA VISTA, PC (NPI 1558563114) is a healthcare organization registered as a family medicine in Sierra Vista, Arizona and active in the NPI registry since June 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Ralph E Mayberry, President, as its authorized official.

NPPES Registry Identity

NPI1558563114

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFAMILY HEALTH CENTER OF SIERRA VISTA, PC

Location Address1800 E WILCOX DRSierra Vista, AZ 85635-2756

Mailing Address1800 E Wilcox DrSierra Vista, AZ 85635-2756 · (520) 459-3116 · Fax (520) 459-7397

Phone(520) 459-3116

Fax(520) 459-7397

Organization SubpartNo

Authorized OfficialRalph E MayberryPresident · (520) 459-3116

Enumeration DateJune 4, 2007

Last NPPES UpdateDecember 11, 2018

✔ NPI 1558563114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 16890

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1800 E WILCOX DR, Sierra Vista, AZ 85635

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Other Identifiers 3

OtherA002AZ · Tricare Wps

OtherCH7902AZ · Railroad Medicare

OtherHEALTHNETAZ · 1z4100

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

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 03D0671265

Family Health Center Of Sierra Vista · Sierra Vista, AZ

Active · expires Aug 31, 2026

CLIA Number03D0671265

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorPhilip Lesueur

Laboratory Phone(520) 459-3116

Laboratory LocationFamily Health Center Of Sierra Vista1800 E Wilcox Dr, Sierra Vista, AZ 85635

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

MRS. DANIELLE NICOLE MARTIN FNP-C

Nurse Practitioner