Hillside Outpatient Clinic
LBN: West Yavapai Guidance Clinic, Inc.
Hillside Outpatient Clinic is an health care organization with primary practice located at 726 Gail Gardner Way , Prescott AZ 86305-2314. 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, Inc. can be contacted via phone (928) 445-5211, or through Player, Tamara via phone (928) 445-5211.
Contact Information
Primary practice address
726 Gail Gardner Way
Prescott AZ 86305-2314
Phone: (928) 445-5211
Fax: (928) 776-8484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | BH309 | Arizona |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | CSLG6205 | Arizona |
Profile Details
| NPI number | 1053366716 |
|---|---|
| LBN Legal business name | West Yavapai Guidance Clinic, Inc. |
| DBA Doing business as | Hillside Outpatient Clinic |
| Authorized official | Player, Tamara |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jul 10th, 2024 - about last year |
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 | 1053366716 | NPPES |
| Arizona | MEDICAID | OTC13436 |
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