Organization
YAVAPAI COUNTY COMMUNITY HEALTH SERVICES
Active
Other names
Personal Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RESENDES (DIRECTOR)
(928) 442-5966
Entity
Organization
Contact information
Practice address
1090 COMMERCE DR, PRESCOTT, AZ 86305-3700
(928) 771-3538
(928) 771-3369
Mailing address
1090 COMMERCE DR, PRESCOTT, AZ 86305-3700
(928) 771-3538
(928) 771-3369
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
OTC3512
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
555138
AHCCCS PROVIDER NUMBER
AZ
Enumeration date
12/14/2006
Last updated
08/22/2020
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