PRESCOTT HEALTHCARE SOLUTIONS LLC NPI 1821454505

NPI Information

NPI: 1821454505
Provider Name: PRESCOTT HEALTHCARE SOLUTIONS LLC

Doing Business As: OPTIMA MEDICAL

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
743 MILLER VALLEY RD
PRESCOTT, AZ
ZIP 86301
Phone: (928) 777-9600
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PRESCOTT HEALTHCARE SOLUTIONS LLC is a multi-specialty clinic center in Prescott, AZ. PRESCOTT HEALTHCARE SOLUTIONS LLC NPI is 1821454505. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Optima Medical.

The provider's business location address is:

743 MILLER VALLEY RD
PRESCOTT, AZ
ZIP 86301-813
Phone: (928) 777-9600
Fax: (855) 449-5560

The provider's authorized official is Michael O'neil .
The authorized official title is Ceo and has the following contact phone number (480) 660-6706.

The CLIA number assigned to this NPI record is 03D2256753 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2016 and was last updated on 6/9/2022.

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	207Q00000X	Family Medicine		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	261QM1300X	Clinic/Center	Multi-Specialty	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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