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General NPI Number Information
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NPI Number | 1053252940
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Entity Type | Organization
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Legal Business Name | PRESCOTT HEALTHCARE SOLUTIONS LLC
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 450 S WILLARD ST STE 103
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City | COTTONWOOD
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State | AZ
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Zip | 86326-6744
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Country | US
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Telephone | 928-634-9573
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Fax | 928-634-0135
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Provider Business Mailing Address
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Address Line | 450 S WILLARD ST STE 103
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City | COTTONWOOD
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State | AZ
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Zip | 86326-6744
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Country | US
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Telephone | 928-634-9573
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Fax | 928-634-0135
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL VICTOR O'NEIL
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Credential |
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Telephone | 480-900-7256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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