Prescott Medical Executive Detox
NPI 1982996989 · Substance Abuse Rehabilitation Facility · Prescott, AZ
Prescott Medical Executive Detox is a Substance Abuse Rehabilitation Facility organization in Prescott, AZ (NPI 1982996989).
Provider details
- NPI number
- 1982996989
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Patrick Gallus, Chief Administrator(928) 899-0128
- License
- 3273 (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
15 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
- 2011-05-09
- Last updated
- 2011-05-09
Frequently asked questions
- What is Prescott Medical Executive Detox's NPI number?
- Prescott Medical Executive Detox's National Provider Identifier (NPI) is 1982996989, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prescott Medical Executive Detox?
- Prescott Medical Executive Detox is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Prescott Medical Executive Detox located?
- Prescott Medical Executive Detox's practice location on file with NPPES is 134 S Granite St, Prescott, AZ 86303-4710.
- What is Prescott Medical Executive Detox's phone number?
- The practice phone number listed in the NPPES registry for Prescott Medical Executive Detox is (928) 227-2300.
- Who is the authorized official for Prescott Medical Executive Detox?
- The authorized official listed on Prescott Medical Executive Detox's NPPES record is Patrick Gallus, Chief Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prescott Medical Executive Detox's NPI active?
- Yes — Prescott Medical Executive Detox's NPI (1982996989) is active in the NPPES registry as of the last update on 2011-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.