PRESCOTT HEALTHCARE SOLUTIONS LLC (NPI# 1821454505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821454505 |
| Entity Type | Organization |
| Organization Name | PRESCOTT HEALTHCARE SOLUTIONS LLC |
| Other Organization Name | OPTIMA MEDICAL |
| Practice Address |
743 Miller Valley Rd Prescott AZ 86301-1813 |
| Practice Telephone | 9287721673 |
| Practice Fax Number | 6022184443 |
| Mailing Telephone | 2845875839 |
| Mailing Fax Number | 6022184443 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | MICHAEL O'NEIL (CEO) |
| Authorized Official Telephone | 4806606706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OPTIMA MEDICAL | Doing Business As Name - Organization |
| Street Address |
743 MILLER VALLEY RD |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467864470 | John Iverson | Physician Assistant | 743 Miller Valley Rd, Prescott, AZ 86301 | 2014-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1720497258 | Arizona Grand Medical Center Pllc | Clinic/Center | 3773 Crossings Dr, Suite B, Prescott, AZ 86305-7140 | 2014-08-08 |
| 1003111378 | Arizona Grand Medical Center Pllc | Clinic/Center | 3777 Crossings Dr, Prescott, AZ 86305-7121 | 2011-01-18 |
| 1619998705 | Arizona Grand Medical Center Pllc | Clinic/Center | 3777 Crossings Dr, Prescott, AZ 86305-7121 | 2006-07-22 |
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| 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.