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SPECTRUM HEALTHCARE GROUP INC NPI 1356889711


NPI Information

NPI: 1356889711
Provider Name: SPECTRUM HEALTHCARE GROUP, INC

Former Legal Business Name: VERDE VALLEY GUIDANCE CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D2019085

Address:
2880 HOPI DRIVE
SEDONA, AZ
ZIP 86336
Phone: (928) 634-2236
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SPECTRUM HEALTHCARE GROUP, INC is a family medicine in Sedona, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SPECTRUM HEALTHCARE GROUP, INC NPI is 1356889711. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Verde Valley Guidance Clinic.

The provider's business location address is:

2880 HOPI DRIVE
SEDONA, AZ
ZIP 86336
Phone: (928) 634-2236
Fax: (928) 634-8960

The provider's authorized official is Corinne Bailey .
The authorized official title is Credentilaing Specialist and has the following contact phone number (928) 634-2236.

The CLIA number assigned to this NPI record is 03D2019085 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2017 and was last updated on 3/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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