Ccr Otc LLC
NPI 1700281219 · Substance Use Disorder Rehabilitation Clinic/Center · Prescott, AZ
Ccr Otc LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Prescott, AZ (NPI 1700281219).
Provider details
- NPI number
- 1700281219
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Erin Bachman, Cfo(928) 671-0161
- License
- 10486 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Registry dates
- Enumerated
- 2014-10-27
- Last updated
- 2014-10-27
Frequently asked questions
- What is Ccr Otc LLC's NPI number?
- Ccr Otc LLC's National Provider Identifier (NPI) is 1700281219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ccr Otc LLC?
- Ccr Otc LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ccr Otc LLC located?
- Ccr Otc LLC's practice location on file with NPPES is 819 W Gurley St Unit C, Prescott, AZ 86305-3626.
- What is Ccr Otc LLC's phone number?
- The practice phone number listed in the NPPES registry for Ccr Otc LLC is (928) 671-0161.
- Who is the authorized official for Ccr Otc LLC?
- The authorized official listed on Ccr Otc LLC's NPPES record is Erin Bachman, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ccr Otc LLC's NPI active?
- Yes — Ccr Otc LLC's NPI (1700281219) is active in the NPPES registry as of the last update on 2014-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.