Mingus Center - Rio De Esperanza

LBN: Main Street Diagnostic, Llc
Mingus Center - Rio De Esperanza is an health care organization with primary practice located at 636 N Main St , Cottonwood AZ 86326-3725. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Main Street Diagnostic, Llc can be contacted via phone (928) 639-4440, or through Carrillo, Maria via phone (928) 639-4440.

Contact Information

Primary practice address
636 N Main St Cottonwood AZ 86326-3725
Phone: (928) 639-4440
Fax: (928) 639-3924
Website:
Map and Directions
Authorized official contact:
Name: Carrillo, Maria
Phone: (928) 639-4440

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X PENDING Arizona

Profile Details

NPI number 1972639748
LBN Legal business name Main Street Diagnostic, Llc
DBA Doing business as Mingus Center - Rio De Esperanza
Authorized official Carrillo, Maria
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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