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NPI 1225027477

OrganizationActive

Main Street Diagnostic LLC

NPI 1225027477 · Psychiatric Hospital · Cottonwood, AZ

Provider details

NPI number: 1225027477
Entity type: Organization
Primary specialty: Psychiatric HospitalHospitals
Authorized official: Maria Carrillo, Finance Coordinator
License: BH-2492 (AZ)

Practice location

636 N Main St

Cottonwood, AZ 86326-3725

Phone: (928) 639-4440

Fax: (928) 639-3924

More AZ providers

Mailing address

636 N Main St

Cottonwood, AZ 86326-3725

Registry dates

Enumerated: 2005-10-20
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Main Street Diagnostic LLC — NPI 1225027477, Cottonwood, AZ | NPI Central