| Polara Health | |
|
3347 N Windsong Dr Prescott Valley AZ 86314 | |
| (928) 445-5211 | |
| (928) 775-9231 |
| Full Name | Polara Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3347 N Windsong Dr, Prescott Valley, Arizona |
| Authorized Official Name and Position | Linda Mclain (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9284455211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polara Health 3343 N Windsong Dr Prescott Valley AZ 86314-1213 Ph: (928) 445-5211 | Polara Health 3347 N Windsong Dr Prescott Valley AZ 86314 Ph: (928) 445-5211 |
| NPI Number | 1912381070 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 06/14/2021 |
| Certification Date | 06/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912381070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | OTC6714 (Arizona) | Primary |
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