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EAGLE ROCK HEALTH CLINC
NPI 1689813834
Clinic/Center - Primary Care in Williams, AZ

Active since February 11, 2009
117 W ROUTE 66, SUITE 190, WILLIAMS, AZ 86046(928) 635-1044(928) 635-1042 Get Directions Write a Review

NPPES record last updated: February 11, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eagle Rock Health Clinc NPPES

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

EAGLE ROCK HEALTH CLINC (NPI 1689813834) is a healthcare organization registered as a primary care in Williams, Arizona and active in the NPI registry since February 2009. The organization lists Gerald J Taitague, President/physician, as its authorized official.

NPPES Registry Identity

NPI1689813834
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGERALD J TAITAGUE MD PC
Location Address117 W ROUTE 66, SUITE 190Williams, AZ 86046-2567
Mailing Address117 W Route 66, Suite 190Williams, AZ 86046-2567 · (928) 635-1044 · Fax (928) 635-1042
Phone(928) 635-1044
Fax(928) 635-1042
Organization SubpartNo
Authorized OfficialGerald J TaitaguePresident/physician · (928) 635-1044
Enumeration DateFebruary 11, 2009
✔ NPI 1689813834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AZ · 26182
117 W ROUTE 66, Williams, AZ 86046
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Other Names 1

Doing Business AsEagle Rock Health Clinc

Other Identifiers 5

Medicare UPING67639AZ
OtherAZ0865880AZ · Blue Cross
Medicare PIN61893AZ
Other01-0064151AZ · Railroad Medicare
Other426503AZ · Ahcccs

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 Gerald J Taitague MD PC's NPI number?

The NPI number for Gerald J Taitague MD PC is 1689813834. It was assigned to this organization in the NPPES registry on February 11, 2009. The provider is doing business as Eagle Rock Health Clinc.

Where is Gerald J Taitague MD PC located?

Gerald J Taitague MD PC is located at 117 W Route 66 Suite 190, Williams, AZ 86046. The listed phone number is (928) 635-1044.

What is Gerald J Taitague MD PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Gerald J Taitague MD PC was last updated on February 11, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.