| Spectrum Healthcare Group, Inc. | |
|
8 E Cottonwood St Cottonwood AZ 86326-4382 | |
| (928) 634-2236 | |
| (928) 634-8960 |
| Full Name | Spectrum Healthcare Group, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8 E Cottonwood St, Cottonwood, Arizona |
| Authorized Official Name and Position | Corinne Bailey (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9286342236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Healthcare Group, Inc. 2880 Hopi Drive Sedona AZ 86336 Ph: (928) 634-2236 | Spectrum Healthcare Group, Inc. 8 E Cottonwood St Cottonwood AZ 86326-4382 Ph: (928) 634-2236 |
| NPI Number | 1174608764 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 03/09/2020 |
| Certification Date | 03/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174608764 | NPI | - | NPPES |
| 144577 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-217 (Arizona) | Primary |
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