Organization
COUNTY OF YAVAPAI
Active
Other names
Community Health Center of Yavapai
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON RICKMAN (EXECITUVE DIRECTOR)
(928) 442-5285
Entity
Organization
Contact information
Practice address
1090 COMMERCE DR, PRESCOTT, AZ 86305-3700
(928) 583-1000
(866) 323-8458
Mailing address
1090 COMMERCE DR, PRESCOTT, AZ 86305-3700
(928) 583-1000
(866) 323-8458
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
OTC3512
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188591
—
AZ
Enumeration date
06/22/2006
Last updated
02/10/2017
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