Prescott Opc

LBN: Sequelcare Of Arizona, Llc
Prescott Opc is an health care organization with primary practice located at 3170 Stillwater Dr. , Prescott AZ 86305. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Sequelcare Of Arizona, Llc can be contacted via phone (928) 777-3280, or through Razo, Wendy via phone (928) 777-3280.

Contact Information

Primary practice address
3170 Stillwater Dr. Prescott AZ 86305
Phone: (928) 777-3280
Fax: (928) 717-1660
Website:
Map and Directions
Authorized official contact:
Name: Razo, Wendy
Phone: (928) 777-3280

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X BH-2730 Arizona
Behavioral Health & Social Service Providers / Mental Health 101YM0800X BH-3517 Arizona

Profile Details

NPI number 1376601914
LBN Legal business name Sequelcare Of Arizona, Llc
DBA Doing business as Prescott Opc
Authorized official Razo, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Feb 15th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376601914 NPPES
Arizona MEDICAID 451604
Arizona Other 157612

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