Windhaven Psychiatric Hospital | |
3343 N Windsong Dr Prescott Valley AZ 86314-1213 | |
(928) 445-5211 | |
(928) 776-8484 |
Full Name | Windhaven Psychiatric Hospital |
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Speciality | Counselor |
Location | 3343 N Windsong Dr, Prescott Valley, Arizona |
Authorized Official Name and Position | Kara Langley (CHIEF ADMINISTRATIVE OFFICER/CAO) |
Authorized Official Contact | 9284455211 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Windhaven Psychiatric Hospital 3343 N Windsong Dr Prescott Valley AZ 86314-1213 Ph: (928) 445-5211 | Windhaven Psychiatric Hospital 3343 N Windsong Dr Prescott Valley AZ 86314-1213 Ph: (928) 445-5211 |
NPI Number | 1639367105 |
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Provider Enumeration Date | 10/10/2007 |
Last Update Date | 06/14/2021 |
Certification Date | 06/14/2021 |
Medicare PECOS PAC ID | 3375524358 |
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Medicare Enrollment ID | O20201023000132 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639367105 | NPI | - | NPPES |
Provider Name | Patricia White |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891853321 PECOS PAC ID: 6800069717 Enrollment ID: I20201023000216 |
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