DOUGLAS ARC NPI 1760589204

NPI Information

  • NPI: 1760589204
  • Provider Name: DOUGLAS ARC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • CLIA Number: 03D2278096
  • Address: 610 9TH STREET
    DOUGLAS, AZ
    ZIP 85607
  • Phone: (520) 364-7473

Map and Directions

Get Directions

NPI Details

DOUGLAS ARC is a mental health (including community mental health center) clinic center in Douglas, AZ. DOUGLAS ARC NPI is 1760589204. The provider is registered as an organization entity type.

The provider's business location address is:

610 9TH STREET
DOUGLAS, AZ
ZIP 85607
Phone: (520) 364-7473
Fax: (520) 364-2236

The provider's authorized official is Gary J Clark .
The authorized official title is Executive Director and has the following contact phone number (520) 364-7473.

The CLIA number assigned to this NPI record is 03D2278096 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2006 and was last updated on 8/21/2007.

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 License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1704933OTHERARIZONAAHCCCS
2CSA06ADHS0046OTHERARIZONAAZ BEHAVIORAL HEALTH SERV

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI