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Willow Valley Medical Center PC

Family Medicine Physician in Mohave Valley, AZ · enumerated 2005 · authorized official Donovan Anderson, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134111834

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Registry record

Entity type Organization (Type 2)
Legal business name Willow Valley Medical Center PC
Practice address 8700 Highway 95, Mohave Valley, AZ, 86440
Fax (928) 453-9207
Enumeration date Aug 18, 2005
Last updated in NPPES Feb 8, 2018

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 13491 (AZ) Primary

Authorized official

Name Donovan Anderson
Title Physician

Other identifiers

Identifier Type State Issuer
205288-002 Medicaid AZ -
DI935A Other CA MEDICARE PTAN
XPY055881 Medicaid CA -
205288-01 Medicaid AZ -
AZ0325100 Other AZ AZ BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Willow Valley Medical Center PC?
The NPI for Willow Valley Medical Center PC is 1134111834, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Willow Valley Medical Center PC?
NPPES lists Donovan Anderson (Physician) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-02-08.