| Cortez Clinic | |
|
505 S Cortez Prescott AZ 86303 | |
| (928) 445-5211 | |
| (928) 776-8484 |
| Full Name | Cortez Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 505 S Cortez, Prescott, Arizona |
| Authorized Official Name and Position | Kara Langley (CAO) |
| Authorized Official Contact | 9284455211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cortez Clinic 3343 N. Windsong Dr. Prescott Valley AZ 86314-2283 Ph: (928) 445-5211 | Cortez Clinic 505 S Cortez Prescott AZ 86303 Ph: (928) 445-5211 |
| NPI Number | 1871547430 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 06/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871547430 | NPI | - | NPPES |
| 003434 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | BH178 (Arizona) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | OTC6686 (Arizona) | Primary |
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