OrganizationActive
Seaside Sanctuary Clinic LLC
NPI 1285784082 · Specialist · Flagstaff, AZ
Seaside Sanctuary Clinic LLC is a Specialist organization in Flagstaff, AZ (NPI 1285784082).
Provider details
- NPI number
- 1285784082
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Mary Meadows, Director(361) 463-1353
- License
- K6250 (TX)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2401 W Route 66
#24
Flagstaff, AZ 86001-8761
Phone: (361) 463-1353
Fax: (215) 261-0666
Approximate (ZIP-level) locationGet directions
Mailing address
2401 W Route 66
Flagstaff, AZ 86001-8761
Other names (DBA / former)
- Doing business as
- Mary C. Meadows, N.d.
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Seaside Sanctuary Clinic LLC's NPI number?
- Seaside Sanctuary Clinic LLC's National Provider Identifier (NPI) is 1285784082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Seaside Sanctuary Clinic LLC?
- Seaside Sanctuary Clinic LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Seaside Sanctuary Clinic LLC located?
- Seaside Sanctuary Clinic LLC's practice location on file with NPPES is 2401 W Route 66, Flagstaff, AZ 86001-8761.
- What is Seaside Sanctuary Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Seaside Sanctuary Clinic LLC is (361) 463-1353.
- Who is the authorized official for Seaside Sanctuary Clinic LLC?
- The authorized official listed on Seaside Sanctuary Clinic LLC's NPPES record is Mary Meadows, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Seaside Sanctuary Clinic LLC's NPI active?
- Yes — Seaside Sanctuary Clinic LLC's NPI (1285784082) is active in the NPPES registry as of the last update on 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.