Main Street Diagnostic, LLC
NPI 1972639748 · Substance Abuse Rehabilitation Facility · Cottonwood, AZ
Main Street Diagnostic, LLC is a Substance Abuse Rehabilitation Facility organization in Cottonwood, AZ (NPI 1972639748).
Provider details
- NPI number
- 1972639748
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Maria Carrillo, Finance Coordinator(928) 639-4440
- License
- PENDING (AZ)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Mingus Center - Rio De Esperanza
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Main Street Diagnostic, LLC's NPI number?
- Main Street Diagnostic, LLC's National Provider Identifier (NPI) is 1972639748, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Diagnostic, LLC?
- Main Street Diagnostic, LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Main Street Diagnostic, LLC located?
- Main Street Diagnostic, LLC's practice location on file with NPPES is 636 N Main St, Cottonwood, AZ 86326-3725.
- What is Main Street Diagnostic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Main Street Diagnostic, LLC is (928) 639-4440.
- Who is the authorized official for Main Street Diagnostic, LLC?
- The authorized official listed on Main Street Diagnostic, LLC's NPPES record is Maria Carrillo, Finance Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Diagnostic, LLC's NPI active?
- Yes — Main Street Diagnostic, LLC's NPI (1972639748) 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.