Mingus Center (Level 1 Sub Acute Agency)
LBN: Main Street Diagnostic Llc
Mingus Center (Level 1 Sub Acute Agency) is an health care organization with primary practice located at 636 N Main St , Cottonwood AZ 86326-3725. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty.
Main Street Diagnostic Llc can be contacted via phone (928) 639-4440, or through Carrillo, Maria via phone (928) 639-4440.
Contact Information
Primary practice address
636 N Main St
Cottonwood AZ 86326-3725
Phone: (928) 639-4440
Fax: (928) 639-3924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Psychiatric Hospital | 283Q00000X | BH-2492 | Arizona |
Profile Details
| NPI number | 1225027477 |
|---|---|
| LBN Legal business name | Main Street Diagnostic Llc |
| DBA Doing business as | Mingus Center (Level 1 Sub Acute Agency) |
| Authorized official | Carrillo, Maria |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225027477 | NPPES |
| Arizona | Other | 3955228 | AETNA |
| Arizona | Other | 404204 | AETNA |
| Arizona | Other | AZ0209640 | AETNA |
| Arizona | Other | BH-2492 | AETNA |
| Arizona | Other | 2215360 | AETNA |
| Arizona | MEDICAID | 887317 | AETNA |
| Arizona | Other | 100322 | AETNA |
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