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NPI Code Detail

MEDICARE: COUNTY OF YAVAPAI

MEDICARE: COUNTY OF YAVAPAI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare AgencyOTC3512AZ

General Provider Information

NPI Number : 1952501389
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF YAVAPAI
Provider Business Mailing Address
First Line : 1090 COMMERCE DR
Second Line :
City : PRESCOTT
State : AZ
Zip : 86305-3700
Country : US
Telephone Number : 928-771-3122
Fax Number : 928-771-3369
Provider Business Practice Location Address
First Line : 1090 COMMERCE DR
Second Line :
City : PRESCOTT
State : AZ
Zip : 86305-3700
Country : US
Telephone Number : 928-771-3122
Fax Number : 928-771-3369
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : LESLIE ROBIN HORTON
Credential :
Telephone Number : 928-442-5303
Provider Enumeration Date : 07/24/2007
Last Update Date : 06/02/2026

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1659317022 — COUNTY OF YAVAPAI
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1750672762 — SUZIE ALEXANDRA VIAUD FNP
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1366825978 — CHRISTOPHER NOVACK NP-C
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Directions to “COUNTY OF YAVAPAI ” Practice Location

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