Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colorado River Primary Care, Inc

Organization Internal Medicine Physician · NPI 1669146536

Colorado River Primary Care, Inc is an Internal Medicine Physician in Fort Mohave, Arizona. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1510 E Wagon Wheel Ln Ste 104
Fort Mohave, AZ 86426-6698
Phone: (928) 248-0518
Fax: (928) 514-2823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1669146536
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wantzy Cooper — President · (928) 248-0518
Other names Tri State Primary Care
NPI enumeratedAugust 4, 2021
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address1510 E Wagon Wheel Ln Ste 104, Fort Mohave, AZ 86426-6698

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