1225027477 MAIN STREET DIAGNOSTIC LLC
Psychiatric Hospital
Active
Basic Information
- Organization Name
- MAIN STREET DIAGNOSTIC LLC
- Enumeration Date
- October 20, 2005
- Last Update
- August 22, 2020
- Authorized Official
- MARIA CARRILLO
FINANCE COORDINATOR
Phone: (928) 639-4440
Practice Location
- Address
- 636 N MAIN ST
COTTONWOOD, AZ 863263725 - Phone
- (928) 639-4440
- Fax
- (928) 639-3924
Mailing Address
- Address
- 636 N MAIN ST
COTTONWOOD, AZ 863263725 - Phone
- (928) 639-4440
- Fax
- (928) 639-3924
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Psychiatric Hospital | BH-2492 | AZ | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3955228 | 01 | AZ | AETNA |
| 404204 | 01 | AZ | JCAHCO |
| AZ0209640 | 01 | AZ | BCBS PROV REG. # |
| BH-2492 | 01 | AZ | ADHS LICENSE L1 SUB ACUTE |
| 2215360 | 01 | AZ | CIGNA PROV REG # |
| 887317 | 05 | AZ | N/A |
| 100322 | 01 | AS | CENPATICO - ADULTS |
Frequently Asked Questions
What is MAIN STREET DIAGNOSTIC LLC's NPI number?
MAIN STREET DIAGNOSTIC LLC's NPI number is 1225027477.
Which doctor has NPI number 1225027477?
The doctor with NPI number 1225027477 is MAIN STREET DIAGNOSTIC LLC.
What is MAIN STREET DIAGNOSTIC LLC's practice address?
MAIN STREET DIAGNOSTIC LLC's practice address is 636 N MAIN ST, COTTONWOOD, AZ, 863263725.
Which doctor practices at 636 N MAIN ST, COTTONWOOD, AZ, 863263725?
MAIN STREET DIAGNOSTIC LLC practices at 636 N MAIN ST, COTTONWOOD, AZ, 863263725.
What is MAIN STREET DIAGNOSTIC LLC's phone number?
MAIN STREET DIAGNOSTIC LLC's phone number is (928) 639-4440.
Who is (928) 639-4440?
(928) 639-4440 is the phone number for MAIN STREET DIAGNOSTIC LLC.
What is MAIN STREET DIAGNOSTIC LLC's specialty?
MAIN STREET DIAGNOSTIC LLC's specialty is Psychiatric Hospital.
What type of doctor is MAIN STREET DIAGNOSTIC LLC?
MAIN STREET DIAGNOSTIC LLC is a Psychiatric Hospital.
Is MAIN STREET DIAGNOSTIC LLC a Psychiatric Hospital?
Yes, MAIN STREET DIAGNOSTIC LLC is a Psychiatric Hospital.
Is MAIN STREET DIAGNOSTIC LLC still practicing?
Yes, MAIN STREET DIAGNOSTIC LLC is currently practicing.
Is MAIN STREET DIAGNOSTIC LLC accepting new patients?
MAIN STREET DIAGNOSTIC LLC may be accepting new patients. Please call their office at (928) 639-4440 to inquire about availability.
Is NPI 1225027477 still active?
Yes, NPI 1225027477 is currently active.
Where does MAIN STREET DIAGNOSTIC LLC practice?
MAIN STREET DIAGNOSTIC LLC practices in COTTONWOOD, AZ.