DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAIN STREET DIAGNOSTIC LLC

Active Organization

Psychiatric Hospital · COTTONWOOD, AZ

Registration Details

NPI Number
1225027477
Provider Type
Organization
NPI Issued
Oct 20, 2005 (20.521606089821 yrs)
Last Updated
Aug 22, 2020
License
BH-2492 (AZ)

Practice Information

Address
636 N MAIN ST
COTTONWOOD, AZ, 863263725
Browse AZ providers · Browse ZIP 86326
Phone
9286394440
Fax
9286393924
Primary Specialty
Psychiatric Hospital
283Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.