SELAH CARE, INC (NPI# 1558896746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558896746 |
| Entity Type | Organization |
| Organization Name | SELAH CARE, INC |
| Practice Address |
240 S Montezuma St Suite 206 Prescott AZ 86303-4712 |
| Practice Telephone | 9287089960 |
| Mailing Telephone | 9287089960 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |
| Authorized Official Name | MR. HARRISON HATFIELD (PRESIDENT) |
| Authorized Official Telephone | 9287089960 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | BL-01985 | AZ | Managed Care Organizations |
| Street Address |
240 S MONTEZUMA ST SUITE 206 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316965502 | Michele M Peters | Nurse Practitioner | 240 S Montezuma St, Prescott, AZ 86303-4712 | 2006-07-17 |
| 1013546530 | Counselors On Call LLC | Community/Behavioral Health | 240 S Montezuma St, Prescott, AZ 86303-4712 | 2020-04-06 |
| 1578826517 | Dual Recovery Solutions LLC | Community/Behavioral Health | 240 S Montezuma St, Suite 201, Prescott, AZ 86303-4712 | 2012-06-22 |
| 1346466422 | Laurie Alice Tetreault | Marriage & Family Therapist | 240 S Montezuma St, Ste. 104, Prescott, AZ 86303-4712 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| 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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| 1932507951 | Dignity Healthcare | Preferred Provider Organization | 4516 W Magdalena Ln, Laveen, AZ 85339-2350 | 2014-12-08 |
| 1245647387 | Blue Skies Home Managment Services | Preferred Provider Organization | 7581 E 26th St, Yuma, AZ 85365-8615 | 2014-07-21 |
| 1437565389 | The Eagle-watch Behavioral Health Services LLC | Preferred Provider Organization | 4145 E Megan St, Gilbert, AZ 85295-7736 | 2014-07-10 |
| 1205258415 | Maggie Lam Pllc | Preferred Provider Organization | 1761 E Warner Rd # A-14, Tempe, AZ 85284-4558 | 2014-01-08 |
| 1730510785 | Otilia Muresan | Preferred Provider Organization | 22365 N 69th Ave, Glendale, AZ 85310 | 2013-12-02 |
| 1952741530 | Hms Dental Pllc | Preferred Provider Organization | 22717 S Ellsworth Rd Ste B102, Queen Creek, AZ 85142-7575 | 2013-06-27 |
| 1629319322 | Aa Physiotherapy Inc | Preferred Provider Organization | 11333 N. 92 St, 1029, Scottsdale, AZ 85260 | 2013-03-06 |
| 1982953840 | Health Choice Preferred Arizona Aco LLC | Preferred Provider Organization | 410 N. 44th Street, Suite 900, Phoenix, AZ 85008-6522 | 2012-09-06 |
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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.