YAVAPAI COUNTY COMMUNITY HEALTH SERVICES (NPI# 1366504441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366504441 |
| Entity Type | Organization |
| Organization Name | YAVAPAI COUNTY COMMUNITY HEALTH SERVICES |
| Other Organization Name | PERSONAL CARE SERVICES |
| Practice Address |
1090 Commerce Dr Prescott AZ 86305-3700 |
| Practice Telephone | 9287713538 |
| Practice Fax Number | 9287713369 |
| Mailing Telephone | 9287713538 |
| Mailing Fax Number | 9287713369 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT RESENDES (DIRECTOR) |
| Authorized Official Telephone | 9284425966 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
OTC3512 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS PROVIDER NUMBER | 555138 | 01 |
| Other Name | Type Code |
|---|---|
| Personal Care Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295897379 | Yavapai County Community Health Services | Clinic/Center | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2006-12-14 |
| Street Address |
1090 COMMERCE DR |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516589 | David Andrew Green | Pediatrics | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2005-05-30 |
| 1669036901 | Loleita Leanora Green-reid | Nurse Practitioner | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2019-04-23 |
| 1215455886 | Madison Smith | Physician Assistant | 1090 Commerce Dr, Prescott, AZ 86305 | 2017-09-05 |
| 1255854246 | Spencer Claussen | Registered Nurse | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2017-07-21 |
| 1902326937 | Fiona Henderson-power | Nurse Practitioner | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2017-06-21 |
| 1447786157 | Joseph Donaldson | Psychologist | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2017-05-02 |
| 1841678943 | Mirandine Fitchette | Nurse Practitioner | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2015-05-11 |
| 1689097792 | Diane Barrera | Nurse Practitioner | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2014-01-24 |
| 1053663054 | Lois Karleen Acosta | Lactation Consultant, Non-RN | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2012-10-15 |
| 1306168356 | Cristal C Barko | Social Worker | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2010-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336474618 | Mairelis Zaldivar-salazar | Clinic/Center | 10008 W Bloch Rd, Tolleson, AZ 85353-4446 | 2009-10-05 |
| 1730310046 | Greenlee County | Clinic/Center | 253 5th Street, Clifton, AZ 85533-0936 | 2009-08-04 |
| 1124273818 | Planned Parenthood Arizona | Clinic/Center | 1455 W 16th St, Ste C, Yuma, AZ 85364-8921 | 2008-11-21 |
| 1669627360 | Planned Parenthood Arizona | Clinic/Center | 1250 E Apache Blvd, Suite 108, Tempe, AZ 85281-5870 | 2008-11-21 |
| 1750536447 | Planned Parenthood Arizona | Clinic/Center | 7750 E Florentine Rd, Prescott Valley, AZ 86314-2245 | 2008-11-21 |
| 1104071968 | Planned Parenthood Arizona | Clinic/Center | 5771 W Eugie Ave, Glendale, AZ 85304-1241 | 2008-11-20 |
| 1811142672 | Planned Parenthood Arizona | Clinic/Center | 1235 S Gilbert Rd, Suite 20, Mesa, AZ 85204-6005 | 2008-11-20 |
| 1033364898 | Planned Parenthood Arizona | Clinic/Center | 2500 S Woodlands Village Blvd Ste 12, Flagstaff, AZ 86001-6373 | 2008-11-20 |
| 1164601811 | Arizona State University | Clinic/Center | 1124 N 3rd St, Phoenix, AZ 85004-1805 | 2007-10-30 |
| 1881080901 | Planned Parenthood of Arizona | Clinic/Center | 5240 E Knight Dr, Suite #112, Tucson, AZ 85712-2122 | 2015-04-15 |
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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.