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Grapevine Clinic LLC

Family Medicine Physician in Fort Mohave, AZ · enumerated 2010 · authorized official Kaye Cunningham, Owner/Member.

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

National Provider Identifier

1164731030

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Registry record

Entity type Organization (Type 2)
Legal business name Grapevine Clinic LLC
Practice address 5300 S Highway 95, Suite H, Fort Mohave, AZ, 86426
Phone (928) 788-6060
Fax (928) 788-6062
Enumeration date Sep 27, 2010
Last updated in NPPES Sep 27, 2010

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 28326 (AZ) Primary

Authorized official

Name Kaye Cunningham
Title Owner/Member
Phone (928) 788-6060

Other identifiers

Identifier Type State Issuer
L-16288258 Other AZ ARIZONA LLC REGISTRATION

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 Grapevine Clinic LLC?
The NPI for Grapevine Clinic LLC is 1164731030, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Grapevine Clinic LLC?
NPPES lists Kaye Cunningham (Owner/Member) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-09-27.