SPECTRUM HEALTHCARE GROUP, INC (NPI# 1043623978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043623978 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTHCARE GROUP, INC |
| Other Organization Name | VERDE VALLEY GUIDANCE CLINIC |
| Practice Address |
651 W Mingus Ave Cottonwood AZ 86326-4006 |
| Mailing Address |
8 E Cottonwood St Cottonwood AZ 86326-6237 |
| Practice Telephone | 9286342236 |
| Practice Fax Number | 9286348960 |
| Mailing Telephone | 9286342236 |
| Mailing Fax Number | 9286348960 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2020-03-09 |
| Authorized Official Name | CORINNE BAILEY (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9286342236 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 153499 | 05 |
| Other Name | Type Code |
|---|---|
| Verde Valley Guidance Clinic | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356889711 | Spectrum Healthcare Group, Inc | Pediatrics | 2880 Hopi Drive, Sedona, AZ 86336 | 2017-02-06 |
| 1750937868 | Spectrum Healthcare Group, Inc | General Practice | 990 Willow Creek Rd, Prescott, AZ 86301-1640 | 2019-08-14 |
| 1861048423 | Spectrum Healthcare Group, Inc | Counselor | 990 Willow Creek Rd, Prescott, AZ 86301-1640 | 2019-08-09 |
| 1285148502 | Spectrum Healthcare Group, Inc | Counselor | 3633 Crossings Drive, Prescott, AZ 86305-7101 | 2017-11-22 |
| 1053834218 | Spectrum Healthcare Group, Inc | Family Medicine | 3633 Crossings Dr, Prescott, AZ 86305-7101 | 2017-07-19 |
| 1124566559 | Spectrum Healthcare Group, Inc | Pediatrics | 452 W Finnie Flat Rd, Camp Verde, AZ 86322-7298 | 2017-02-06 |
| 1912311093 | Spectrum Healthcare Group, Inc | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2014-06-17 |
| 1770917007 | Spectrum Healthcare Group, Inc | Internal Medicine | 214 S Main St, Cottonwood, AZ 86326-3907 | 2013-08-22 |
| 1376840918 | Spectrum Healthcare Group, Inc | Clinic/Center | 8 E Cottonwood St Bldg C, Cottonwood, AZ 86326-6237 | 2011-02-17 |
| Street Address |
651 W MINGUS AVE |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790722643 | Curtis G Kommer | Family Medicine | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2006-05-31 |
| 1922653344 | Justine Winchester | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2019-08-02 |
| 1174063861 | Mark Hughes | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326 | 2017-03-01 |
| 1316317704 | Brent Whitley | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2015-09-29 |
| 1659776169 | Claudia Gine Converse | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2014-10-27 |
| 1912311093 | Spectrum Healthcare Group, Inc | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2014-06-17 |
| 1881035137 | Genoa Healthcare, LLC | Pharmacy | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2013-07-16 |
| 1548593452 | Jessie Joann Peters | Nurse Practitioner | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2009-09-09 |
| 1265572606 | United Surgical Associates, L.L.C. | Clinic/Center | 651 W Mingus Ave, Suite 2a, Cottonwood, AZ 86326-4006 | 2007-02-07 |
| 1255360889 | Robert Scott Kinkade | Surgery | 651 W Mingus Ave, Suite 1d, Cottonwood, AZ 86326-4006 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1407928401 | William C Stonecipher | Family Medicine | 203 S Candy Ln Ste 13a, Cottonwood, AZ 86326-8113 | 2006-11-14 |
| 1497851067 | Malcolm Wilkinson, Md | Family Medicine | 300 S Willard St, Ste 101, Cottonwood, AZ 86326-4159 | 2006-09-14 |
| 1578585519 | Juneau D Stump Jr Md PC | Family Medicine | 18 E Beech St, Cottonwood, AZ 86326-4134 | 2006-07-25 |
| 1790722643 | Curtis G Kommer | Family Medicine | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2006-05-31 |
| 1568454353 | Cottonwood Medical Group | Family Medicine | 20633 Gas Point Rd, Cottonwood, CA 96022-9296 | 2005-08-17 |
| 1336146059 | Marvin L Colvin | Family Medicine | 753 N Main St, Ste. A, Cottonwood, AZ 86326-3649 | 2005-07-07 |
| 1316940232 | Haley J Minnehan | Family Medicine | 701 Lewiston St, Cottonwood, ID 83522-9750 | 2005-05-24 |
| 1740283555 | Andrew F Jones | Family Medicine | 1775 Keuterville Road, Cottonwood, ID 83522-9750 | 2005-05-24 |
| Find all providers in COTTONWOOD | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.