WEST YAVAPAI GUIDANCE CLINIC INC. NPI 1316212178

NPI Information

NPI: 1316212178
Provider Name: WEST YAVAPAI GUIDANCE CLINIC, INC.

Doing Business As: POLARA HEALTH

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3345 N WINDSONG DR
ATTN: TINA TOLLIVER, SUITE B
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 583-6411
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WEST YAVAPAI GUIDANCE CLINIC, INC. is a primary care clinic center in Prescott Valley, AZ. WEST YAVAPAI GUIDANCE CLINIC, INC. NPI is 1316212178. The provider is registered as an organization entity type.
The provider Is Doing Business As Polara Health.

The provider's business location address is:

3345 N WINDSONG DR
ATTN: TINA TOLLIVER, SUITE B
PRESCOTT VALLEY, AZ
ZIP 86314-283
Phone: (928) 583-6411
Fax: (928) 776-8031

The provider's authorized official is Tamara K. Player .
The authorized official title is Ceo and has the following contact phone number (928) 445-5211.

The enumeration date for this NPI number is 3/13/2012 and was last updated on 6/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	OTC 5318	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OTC 5318	OTHER	ARIZONA	ADHS MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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