SPECTRUM HEALTHCARE GROUP INC. NPI 1790382455

NPI Information

NPI: 1790382455
Provider Name: SPECTRUM HEALTHCARE GROUP, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
636 N MAIN ST
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 634-2236
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SPECTRUM HEALTHCARE GROUP, INC. is a mental health (including community mental health center) clinic center in Cottonwood, AZ. SPECTRUM HEALTHCARE GROUP, INC. NPI is 1790382455. 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 10/6/2020 and was last updated on 10/6/2020.

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	2084P0800X	Psychiatry & Neurology	Psychiatry	No
2	208VP0000X	Pain Medicine	Pain Medicine	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
4	101YM0800X	Counselor	Mental Health	No
5	101YP2500X	Counselor	Professional	No
6	1041C0700X	Social Worker	Clinical	No
7	163W00000X	Registered Nurse		No
8	171M00000X	Case Manager/Care Coordinator		No
9	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
10	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	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: 4/28/2024

NPI Synchronization or Removal

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