WILFRED SHIRLEY (NPI# 1790347573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790347573 |
| Entity Type | Individual |
| Full Name | WILFRED SHIRLEY |
| Credential | SUBSTANCE ABUSE COUN |
| Practice Address |
1/2 Mile Northeast Dilkon Bashas Store Winslow AZ 86047 |
| Mailing Address |
Po Box 7072 Winslow AZ 86047-7072 |
| Practice Telephone | 9286578000 |
| Practice Fax Number | 9286578009 |
| Mailing Telephone | 9286578000 |
| Mailing Fax Number | 9286578009 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1/2 MILE NORTHEAST DILKON BASHAS STORE |
| City | WINSLOW |
| State | AZ |
| Zip Code | 86047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097350 | Kalp Juthani | Student in an Organized Health Care Education/Training Program | 500 N Indiana Avenue, Winslow, AZ 86047 | 2020-03-11 |
| 1104461268 | Dental Innovations-winslow | Clinic/Center | 722 Mike's Pike Street, #101, Winslow, AZ 86047 | 2019-11-13 |
| 1417505611 | Association of Indigenous Pioneers, Incorporated (aipi) | Non-emergency Medical Transport (VAN) | Nec Navajo Route 15 & 60, Suite #2, Winslow, AZ 86047 | 2019-08-30 |
| 1871055624 | Mark Ashcraft | Student in an Organized Health Care Education/Training Program | Winslow Indian Health Care Center, 500 North Indiana Ave, Winslow, AZ 86047 | 2019-04-02 |
| 1568928521 | Winslow Indian Health Care Center, Inc | Pharmacy | 1.5 Mile N. Leupp Chapter House, Leupp, AZ 86047 | 2019-02-14 |
| 1659837615 | Winslow Indian Health Care Center, Inc | Pharmacy | 3 Mls S. of Dilkon Chapter Hse., Dilkon, AZ 86047 | 2019-02-14 |
| 1750809836 | Grassroots Medical Supply | Durable Medical Equipment & Medical Supplies | Nec Navajo Route 15 and 60, Suite #2, Winlsow, AZ 86047 | 2017-09-08 |
| 1538697396 | Janell K Dickson | Counselor | 1/4 Mile Ne of Bashas, Dilkon, AZ 86047 | 2017-05-24 |
| 1235599143 | Dennis Peters | Veterinarian | 4301 W Highway 66, Winslow, AZ 86047 | 2016-03-04 |
| 1932586674 | Aerocare Medical Transport | Ambulance | 722 W Mahoney St, Winslow, AZ 86047 | 2015-05-01 |
| Find all providers in zip 86047 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730551680 | Christopher May | Counselor | 2 Stobie St, Winslow, ME 04901-6837 | 2015-10-30 |
| 1396065488 | Darrell T House | Counselor | 500 N. Indiana Avenue, Winslow, AZ 86047-1269 | 2010-06-11 |
| 1528270113 | Dilkon Outpatient Treatment Center | Counselor | Northeast of Bashas', Winslow, AZ 86047-7072 | 2007-05-04 |
| 1659326262 | Karen M Blackwell | Counselor | 211 E Third St, Winslow, AZ 86047-3802 | 2006-05-23 |
| 1871724211 | Kris C Papin | Counselor | 1301 W Second St, Winslow, AZ 86047-3005 | 2009-08-03 |
| 1700030962 | Ursula Paula Baker | Counselor | 1301 W Second St, Winslow, AZ 86047-3005 | 2008-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534946 | Jodie Lynn Gonzalez | Counselor | 20430 W Carla Vista, Buckeye, AZ 85326-4698 | 2020-10-06 |
| 1649885716 | Global Family LLC | Counselor | 4523 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-09-15 |
| 1891300299 | Roundsville Drug and Alcohol Treatment of Arizona | Counselor | 610 N Bagby Dr, Prescott, AZ 86301-2588 | 2020-09-11 |
| 1982218772 | Bashar Aldeen | Counselor | 3401 W Country Gables Dr, Phoenix, AZ 85053-4756 | 2020-08-31 |
| 1811509581 | Creosote Mental Health Group | Counselor | 4646 N Swan Rd Ste 105, Tucson, AZ 85718-6715 | 2020-08-23 |
| 1316559644 | Pamela Mcrae | Counselor | 17611 W Pershing St, Surprise, AZ 85388-5024 | 2020-08-18 |
| 1508478082 | Tahonna Latreise Surrell | Counselor | 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281 | 2020-08-17 |
| 1619588209 | Teri Sebastian | Counselor | 240 S Montezuma St Ste 201e, Prescott, AZ 86303-4712 | 2020-08-16 |
| 1497366314 | Cachora Standifer | Counselor | 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 | 2020-08-13 |
| 1346858883 | Heather Romero | Counselor | 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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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.