Healthcare Provider Details

I. General information

NPI: 1669313540
Provider Name (Legal Business Name): PRESCOTT HEALTHCARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 N BROAD ST
GLOBE AZ
85501-2503
US

IV. Provider business mailing address

285 N BROAD ST
GLOBE AZ
85501-2503
US

V. Phone/Fax

Practice location:
  • Phone: 928-425-8200
  • Fax: 928-425-8406
Mailing address:
  • Phone: 928-425-8200
  • Fax: 928-425-8406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL VICTOR O'NEIL
Title or Position: CEO
Credential:
Phone: 480-900-7256