TRI STATE PRIMARY CARE
NPI 1669146536
Internal Medicine in Fort Mohave, AZ

Active since August 04, 2021
1510 E WAGON WHEEL LN STE 104, FORT MOHAVE, AZ 86426(928) 248-0518(928) 514-2823 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2024, Dec 8, 2023, Aug 4, 2021 (3 updates tracked since 2021).

About Tri State Primary Care NPPES

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

TRI STATE PRIMARY CARE (NPI 1669146536) is a healthcare organization registered as an internal medicine in Fort Mohave, Arizona and active in the NPI registry since August 2021. The organization lists Wantzy Cooper, President, as its authorized official.

NPPES Registry Identity

NPI1669146536
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOLORADO RIVER PRIMARY CARE, INC
Location Address1510 E WAGON WHEEL LN STE 104Fort Mohave, AZ 86426-6698
Mailing Address1510 E Wagon Wheel Ln Ste 104Fort Mohave, AZ 86426-6698 · (928) 248-0518 · Fax (928) 514-2823
Fax(928) 514-2823
Organization SubpartNo
Authorized OfficialWantzy CooperPresident · (928) 248-0518
Enumeration DateAugust 4, 2021
Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
NPI 1669146536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1510 E WAGON WHEEL LN STE 104, Fort Mohave, AZ 86426

Other Names 1

Doing Business AsTri State Primary Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Urgent Care)
1510 E WAGON WHEEL LN STE 104
FORT MOHAVE, AZ 86426
Clinic/Center (Urgent Care)
1510 E WAGON WHEEL LN STE 104
FORT MOHAVE, AZ 86426
Family Medicine
1510 E WAGON WHEEL LN STE 104
FORT MOHAVE, AZ 86426

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 Colorado River Primary Care, Inc's NPI number?

The NPI number for Colorado River Primary Care, Inc is 1669146536. It was assigned to this organization in the NPPES registry on August 4, 2021. The provider is doing business as Tri State Primary Care.

Where is Colorado River Primary Care, Inc located?

Colorado River Primary Care, Inc is located at 1510 E Wagon Wheel Ln Ste 104, Fort Mohave, AZ 86426. The listed phone number is (928) 248-0518.

What is Colorado River Primary Care, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Colorado River Primary Care, Inc accept?

Health plans from Ambetter from Arizona Complete Health list Colorado River Primary Care, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colorado River Primary Care, Inc was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.