SPECTRUM HEALTHCARE GROUP INC. NPI 1407475825

NPI Information

NPI: 1407475825
Provider Name: SPECTRUM HEALTHCARE GROUP, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
636 N MAIN ST
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 634-2236
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SPECTRUM HEALTHCARE GROUP, INC. is a substance abuse rehabilitation facility in Cottonwood, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SPECTRUM HEALTHCARE GROUP, INC. NPI is 1407475825. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

636 N MAIN ST
COTTONWOOD, AZ
ZIP 86326-725
Phone: (928) 634-2236
Fax: (928) 634-8960

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

The enumeration date for this NPI number is 4/15/2020 and was last updated on 9/21/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	101YP2500X	Counselor	Professional	No
3	1041C0700X	Social Worker	Clinical	No
4	163W00000X	Registered Nurse		No
5	171M00000X	Case Manager/Care Coordinator		No
6	207Q00000X	Family Medicine		No
7	207R00000X	Internal Medicine		No
8	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
9	2084P0800X	Psychiatry & Neurology	Psychiatry	No
10	208VP0000X	Pain Medicine	Pain Medicine	No
11	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
12	363A00000X	Physician Assistant		No
13	363L00000X	Nurse Practitioner		No
14	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
15	324500000X	Substance Abuse Rehabilitation Facility		Yes

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: 11/14/2023

NPI Synchronization or Removal

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