Main Street Diagnostic Llc in Cottonwood - Psychiatric Hospital
Main Street Diagnostic Llc - NPI 1225027477
Main Street Diagnostic Llc is a Psychiatric Hospital in Cottonwood, Arizona. Main Street Diagnostic Llc practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for Main Street Diagnostic Llc is 1225027477. The last update date is 2020-08-22.
Main Street Diagnostic Llc's current location address is 636 N Main St, Cottonwood, Arizona. You can contact this provider via phone number 9286394440 and fax number 9286393924. The mailing address for Main Street Diagnostic Llc is 636 N Main St, Cottonwood, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Main Street Diagnostic Llc |
|---|---|
| Address | 636 N Main St, Cottonwood, Arizona |
| Phone Number | 9286394440 |
| Fax Number | 9286393924 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FINANCE CO |
|---|---|
| Authorized Official Name | Carrillo Maria |
| Telephone Number | 9286394440 |
NPI Number Detail
| NPI Number | 1225027477 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 636 N Main St |
|---|---|
| City | Cottonwood |
| State | Arizona (AZ) |
| Post Code | 863263725 |
| Phone Number | 9286394440 |
| Fax Number | 9286393924 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Hospital |
|---|---|
| Taxonomy | 283Q00000X |
| Licence No | BH-2492 |
|
Definition: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3955228 | AZ | AETNA | |
| 404204 | AZ | JCAHCO | |
| AZ0209640 | AZ | BCBS PROV REG. # | |
| BH-2492 | AZ | ADHS LICENSE L1 SUB ACUTE | |
| 2215360 | AZ | CIGNA PROV REG # | |
| 887317 | AZ | -- | |
| 100322 | AS | CENPATICO - ADULTS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Main Street Diagnostic Llc by the Centers for Medicare & Medicaid Services?
The Main Street Diagnostic Llc has been assigned the NPI (National Provider Identifier) 1225027477 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Main Street Diagnostic Llc?
The Main Street Diagnostic Llc is situated at 636 N Main St, in the city of Cottonwood, state of AZ, with the zip code 863263725.
What is Main Street Diagnostic Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Main Street Diagnostic Llc is Psychiatric Hospital, and the taxonomy code that classifies this field of practice is 283Q00000X.
On what date did Main Street Diagnostic Llc receive its 1225027477 assignment from the Centers for Medicare & Medicaid Services?
The Main Street Diagnostic Llc was assigned its 1225027477 on 2005-10-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Main Street Diagnostic Llc's details last updated?
The information pertaining to the Main Street Diagnostic Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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