Main Street Diagnostic LLC
NPI #1225027477 in Cottonwood, Arizona
Provider Information
- NPI Number
- 1225027477
- Entity Type
- Organization
- Organization Name
- Main Street Diagnostic LLC
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Oct 20, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 636 N MAIN ST
- City
- Cottonwood
- State
- Arizona
- ZIP Code
- 86326-3725
- Phone
- (928) 639-4440
Authorized Official
- Name
- MARIA CARRILLO
- Title
- FINANCE COORDINATOR
- Phone
- (928) 639-4440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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Organizations
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|---|---|
| Vhs Acquisition Subsidiary Number 2 INC | |
| Sonora Behavioral Health Hospital | |
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| State of Arizona State Dept of Finance |
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