| The Meadows Ranch Outpatient Center Llc | |
|
1901 Gold Nugget Lane Mountain View Building Wickenburg AZ 85390-4358 | |
| (602) 256-3020 | |
| Not Available |
| Full Name | The Meadows Ranch Outpatient Center Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1901 Gold Nugget Lane, Wickenburg, Arizona |
| Authorized Official Name and Position | Tracy Livingston (VP OF REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 6022563020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Meadows Ranch Outpatient Center Llc 19820 N 7th St Ste 205 Phoenix AZ 85024-1694 Ph: (928) 684-4039 | The Meadows Ranch Outpatient Center Llc 1901 Gold Nugget Lane Mountain View Building Wickenburg AZ 85390-4358 Ph: (602) 256-3020 |
| NPI Number | 1508506551 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508506551 | NPI | - | NPPES |
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