Main Street Diagnostic Llc is a Psychiatric Hospital based in Cottonwood, AZ. Main Street Diagnostic Llc practices in Cottonwood, AZ. The NPI Number for Main Street Diagnostic Llc is 1225027477 and holds a License No. BH-2492 (Arizona).
The current practice location address for Main Street Diagnostic Llc is 636 N Main St, Cottonwood, AZ and can be reached out via phone at 928-639-4440 and via fax at 928-639-3924. You can also correspond with Main Street Diagnostic Llc through the mailing address at 636 N MAIN ST, COTTONWOOD, AZ - 86326-3725 (mailing address contact number: 928-639-4440).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3955228 | 01 | AZ | AETNA |
| 404204 | 01 | AZ | JCAHCO |
| AZ0209640 | 01 | AZ | BCBS PROV REG. # |
| BH-2492 | 01 | AZ | ADHS LICENSE L1 SUB ACUTE |
| 2215360 | 01 | AZ | CIGNA PROV REG # |
| 887317 | 05 | AZ | |
| 100322 | 01 | AS | CENPATICO - ADULTS |
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