Cortez Clinic
LBN: West Yavapai Guidance Clinic Cortez
Cortez Clinic is an health care organization with primary practice located at 505 S Cortez , Prescott AZ 86303. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
West Yavapai Guidance Clinic Cortez can be contacted via phone (928) 445-5211, or through Langley, Kara via phone (928) 445-5211.
Contact Information
Primary practice address
505 S Cortez
Prescott AZ 86303
Phone: (928) 445-5211
Fax: (928) 776-8484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | BH178 | Arizona |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | OTC6686 | Arizona |
Profile Details
| NPI number | 1871547430 |
|---|---|
| LBN Legal business name | West Yavapai Guidance Clinic Cortez |
| DBA Doing business as | Cortez Clinic |
| Authorized official | Langley, Kara |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jun 14th, 2021 - about 3 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 | 1871547430 | NPPES |
| Arizona | MEDICAID | 003434 |
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