WEST YAVAPAI GUIDANCE CLINIC INC. NPI 1629618061

NPI Information

WEST YAVAPAI GUIDANCE CLINIC, INC. is an adult medicine family medicine in Prescott, AZ. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. WEST YAVAPAI GUIDANCE CLINIC, INC. NPI is 1629618061. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Polara Health.

The provider's business location address is:

625 W HILLSIDE AVE
PRESCOTT, AZ
ZIP 86301-936
Phone: (928) 445-5211

The provider's authorized official is Linda Diane Mclain .
The authorized official title is Credentialing Specialist and has the following contact phone number (928) 445-5211.

The enumeration date for this NPI number is 1/14/2020 and was last updated on 6/14/2021.

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:

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