SPECTRUM HEALTHCARE (NPI# 1083166136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083166136 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTHCARE |
| Practice Address |
8 E Cottonwood St Cottonwood AZ 86326-4382 |
| Practice Telephone | 9286342236 |
| Practice Fax Number | 9286348960 |
| Mailing Telephone | 9286342236 |
| Mailing Fax Number | 9286348960 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Authorized Official Name | APRIL RAZZO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9286342236 |
| Authorized Official Credential | LAMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 261QM0801X | AZ | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | TAXONOMY | 261QM0801X | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SPECTRUM HEALTHCARE CONSULTING LLC | 17 Hearthstone Drive, Dix Hills, Ny 11746 |
| Virginia Business Entities | Spectrum Healthcare Inc. | 20 Eagleville Rd, Norristown, Pennsylvania 19403-1476 |
| Colorado Business Entities | SPECTRUM HEALTHCARE NATIONWIDE, INC. | 1900 Winsten Rd, Knotville, TN 37919 |
| Virginia Business Entities | Spectrum Healthcare Resources Inc. | 12647 Olive Blvd Ste 600, Saint Louis, Missouri 63141-6346 |
| Washington State Corporations | SPECTRUM HEALTHCARE RESOURCES, INC. | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 |
| Colorado Business Entities | SPECTRUM HEALTHCARE RESOURCES, INC. | 12647 Olive Blvd., Suite 600, St. Louis, MO 63141 |
| Indiana Business Entities | SPECTRUM HEALTHCARE RESOURCES, INC. | 12647 Olive Blvd., Creve Coeur, MO 63141 |
| Oklahoma Business Registrations | SPECTRUM HEALTHCARE RESOURCES, INC. | 12647 Olive St, St Louis, MO 63141 |
| Connecticut Business Registrations | SPECTRUM HEALTHCARE RESOURCES, INC. | 12647 Olive Blvd., Suite 600, St. Louis, MO 63141 |
| Massachusetts Corporations | SPECTRUM HEALTHCARE RESOURCES, INC. | 12647 Olive Blvd., Suite 600, St. Louis, MO 63141 |
| Street Address |
8 E COTTONWOOD ST |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487635389 | Spectrum Healthcare Group, Inc. | Psychiatry & Neurology | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2005-11-08 |
| 1073179370 | Lena Embry | Social Worker | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2019-05-13 |
| 1730677246 | Patrick Michael Dotson | Counselor | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2018-04-30 |
| 1134621964 | Jack Pullins | Counselor | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2018-03-07 |
| 1427558634 | Karen Marzullo | Counselor | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2018-02-14 |
| 1235688227 | Kristin Henry | Nurse Practitioner | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2016-10-01 |
| 1043641186 | Mary Winds | Counselor | 8 E Cottonwood St, Cottonwood, AZ 86326-6237 | 2013-11-27 |
| 1154757417 | Zach Duran | Counselor | 8 E Cottonwood St, Cottonwood, AZ 86326-6237 | 2013-09-18 |
| 1437494259 | Spectrum Healthcare Group, Inc. | Registered Nurse | 8 E Cottonwood St, Cottonwood, AZ 86326-6237 | 2012-12-05 |
| 1346599123 | Janet Elizabeth Shannon | Counselor | 8 E Cottonwood St, Cottonwood, AZ 86326-6237 | 2012-09-07 |
| 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 | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1376908996 | Westchester Tbi Home Care LLC | Point of Service | 1046 E Westchester Dr, Tempe, AZ 85283-3039 | 2015-12-25 |
| 1144692872 | Solera Health, Inc. | Point of Service | 111 W Monroe St Ste 300, Phoenix, AZ 85003-1718 | 2015-10-21 |
| 1609245323 | Walter Edward Heuck | Point of Service | 15113 W Las Brizas Ln, Sun City West, AZ 85375-3056 | 2015-09-23 |
| 1962878744 | Gimo Pharmacuetical Services | Point of Service | 12809 W Indianola Ave, Avondale, AZ 85392-6723 | 2015-08-17 |
| Find all providers with the same taxonomy | ||||
| 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.