SPECTRUM HEALTHCARE GROUP INC NPI 1376840918

NPI Information

NPI: 1376840918
Provider Name: SPECTRUM HEALTHCARE GROUP, INC

Former Legal Business Name: VERDE VALEY CONNECTIONS PRIMARY CARE

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

Specialization: Primary Care

Address:
8 E COTTONWOOD ST BLDG C
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 634-2236
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SPECTRUM HEALTHCARE GROUP, INC is a primary care clinic center in Cottonwood, AZ. SPECTRUM HEALTHCARE GROUP, INC NPI is 1376840918. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Verde Valey Connections Primary Care.

The provider's business location address is:

8 E COTTONWOOD ST BLDG C
COTTONWOOD, AZ
ZIP 86326-237
Phone: (928) 634-2236
Fax: (928) 634-8960

The provider's authorized official is Robert D. Cartia .
The authorized official title is Ceo and has the following contact phone number (928) 634-2236.

The enumeration date for this NPI number is 2/17/2011 and was last updated on 6/5/2014.

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	OTC5037	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	ZWMBQF	MEDICARE PIN	ARIZONA
2	598490	MEDICAID	ARIZONA

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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