| Hillside Outpatient Clinic | |
|
726 Gail Gardner Way Prescott AZ 86305-2314 | |
| (928) 445-5211 | |
| (928) 776-8484 |
| Full Name | Hillside Outpatient Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 726 Gail Gardner Way, Prescott, Arizona |
| Authorized Official Name and Position | Tamara Player (CEO) |
| Authorized Official Contact | 9284455211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillside Outpatient Clinic 3343 N. Windsong Dr. Prescott Valley AZ 86314-2283 Ph: (928) 445-5211 | Hillside Outpatient Clinic 726 Gail Gardner Way Prescott AZ 86305-2314 Ph: (928) 445-5211 |
| NPI Number | 1053366716 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053366716 | NPI | - | NPPES |
| OTC13436 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | BH309 (Arizona) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | CSLG6205 (Arizona) | Primary |
Agmc - Crossings Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3777 Crossings Dr, Prescott, AZ 86305 Phone: 928-771-9693 Fax: 928-708-0505 | |
Ellen F Bunch Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1456 W Gurley St, Prescott, AZ 86305 Phone: 928-777-8880 Fax: 928-777-8884 | |
Verde Valley Guidance Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3633 Crossings Dr, Prescott, AZ 86305 Phone: 928-778-0330 Fax: 928-778-1146 | |
Fred S Markham Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 Ainsworth Dr, Suite 104, Prescott, AZ 86301 Phone: 928-778-1736 Fax: 928-717-0785 | |
Yavapai Regional Medical Center Physician Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 Gail Gardner Way, Suite B, Prescott, AZ 86305 Phone: 928-445-0304 | |
Yavapai Regional Medical Center Physician Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Gail Gardner Way, Suite 300, Prescott, AZ 86305 Phone: 928-771-3704 Fax: 928-771-0434 |