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MOUNTAIN AVENUE CLINIC
NPI 1790974830
Internal Medicine in Eagar, AZ

Active since October 15, 2007
606 N MAIN ST, EAGAR, AZ 85925(928) 333-5333(928) 333-5100 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountain Avenue Clinic NPPES

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

MOUNTAIN AVENUE CLINIC (NPI 1790974830) is a healthcare organization registered as an internal medicine in Eagar, Arizona and active in the NPI registry since October 2007. The organization lists Lori Lesueur, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790974830
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSCOTT R HAMBLIN MD, PC
Location Address606 N MAIN STEagar, AZ 85925-9813
Mailing AddressPo Box 1610Springerville, AZ 85938-1610 · (928) 333-5333 · Fax (928) 333-5100
Phone(928) 333-5333
Fax(928) 333-5100
Organization SubpartNo
Authorized OfficialLori LesueurOffice Manager · (928) 333-5333
Enumeration DateOctober 15, 2007
Last NPPES UpdateAugust 27, 2009
✔ NPI 1790974830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 23187
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.
606 N MAIN ST, Eagar, AZ 85925
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Other Names 1

Doing Business AsMountain Avenue Clinic

Other Identifiers 1

Medicare PINZ69312AZ

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

Other Providers at the Same Location NPPES 7

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

SUMMIT HEALTHCARE MEDICAL ASSOCIATES
Clinic/Center (Rural Health)
606 N MAIN ST
EAGAR, AZ 85925
Apache County (928) 333-5333
DR. SEAN PATRICK WILSON M.D.
Family Medicine
606 N MAIN ST
EAGAR, AZ 85925
Apache County (928) 333-5333
LARRY TRAVIS HEAP PA-C
Physician Assistant (Medical)
606 N MAIN ST
EAGAR, AZ 85925
Apache County (928) 333-5333
JAMES HEAP
Family Medicine
606 N MAIN ST
EAGAR, AZ 85925
Apache County (928) 333-5333
EILEEN T FURMAN FNP-BC
Nurse Practitioner (Family)
606 N MAIN ST
EAGAR, AZ 85925
Apache County (928) 333-4660
DR. SCOTT R HAMBLIN M.D.
Internal Medicine
606 N MAIN ST
EAGAR, AZ 85925
Apache County (928) 333-5333
REECE KIRBY HADLOCK PA-C
Physician Assistant
606 N MAIN ST
EAGAR, AZ 85925
Apache County (928) 333-5333

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 Scott R Hamblin MD, PC's NPI number?

The NPI number for Scott R Hamblin MD, PC is 1790974830. It was assigned to this organization in the NPPES registry on October 15, 2007. The provider is doing business as Mountain Avenue Clinic.

Where is Scott R Hamblin MD, PC located?

Scott R Hamblin MD, PC is located at 606 N Main St, Eagar, AZ 85925. The listed phone number is (928) 333-5333.

What is Scott R Hamblin MD, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Scott R Hamblin MD, PC was last updated on August 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.