# SPECTRUM HEALTHCARE GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Verde Valley Guidance Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124566559
- **Authorized official:** CORINNE BAILEY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (877) 634-7333

## Contact information

- **Practice address:** 452 W FINNIE FLAT RD STE F, CAMP VERDE, AZ 86322-7379
- **Practice address phone:** (776) 347-3338
- **Practice address fax:** (866) 984-3891
- **Mailing address:** 8 E COTTONWOOD ST, COTTONWOOD, AZ 86326-4382
- **Mailing address phone:** (877) 634-7333
- **Mailing address fax:** (866) 984-3891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/06/2017
- **Last updated:** 07/29/2024