PRESCOTT HEALTHCARE SOLUTIONS LLC
NPI 1043151939
Clinic/Center - Rural Health in Kingman, AZ

Active since April 03, 2026CLIA 03D1047480 · Waiver
3931 N STOCKTON HILL RD, KINGMAN, AZ 86409(928) 385-7100(855) 538-3114 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prescott Healthcare Solutions Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESCOTT HEALTHCARE SOLUTIONS LLC (NPI 1043151939) is a healthcare organization registered as a rural health in Kingman, Arizona and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Michael Victor O'neil, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043151939
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRESCOTT HEALTHCARE SOLUTIONS LLC
Location Address3931 N STOCKTON HILL RDKingman, AZ 86409-2426
Mailing Address3931 N Stockton Hill RdKingman, AZ 86409-2426 · (928) 385-7100 · Fax (855) 538-3114
Fax(855) 538-3114
Organization SubpartNo
Authorized OfficialMichael Victor O'neilCeo · (480) 900-7256
Enumeration DateApril 3, 2026
NPPES CertifiedApril 3, 2026
NPI 1043151939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
3931 N STOCKTON HILL RD, Kingman, AZ 86409

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1047480

Prescott Healthcare Solutions LLC Dba Optima Medical · Mesa, AZ
Active · expires Nov 6, 2027
CLIA Number03D1047480
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorGabrielle Hancock
Laboratory Phone(480) 900-7256
Laboratory LocationPrescott Healthcare Solutions LLC Dba Optima Medical4135 S Power Rd Suite 129, Mesa, AZ 85212
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2308770

Prescott Healthcare Solutions LLC Dba Optima Medical · Kingman, AZ
Expired · Aug 1, 2026
CLIA Number03D2308770
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorGabriella Hancock
Laboratory Phone(928) 385-7100
Laboratory LocationPrescott Healthcare Solutions LLC Dba Optima Medical3931 Stockton Hill Rd, Kingman, AZ 86409
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
3931 N STOCKTON HILL RD, STE E
KINGMAN, AZ 86409
Nurse Practitioner (Family)
3931 N STOCKTON HILL RD
KINGMAN, AZ 86409
Family Medicine
3931 N STOCKTON HILL RD
KINGMAN, AZ 86409
Pain Medicine (Interventional Pain Medicine)
3931 N STOCKTON HILL RD, SUITE B
KINGMAN, AZ 86409
Family Medicine
3931 N STOCKTON HILL RD
KINGMAN, AZ 86409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prescott Healthcare Solutions LLC's NPI number?

The NPI number for Prescott Healthcare Solutions LLC is 1043151939. It was assigned to this organization in the NPPES registry on April 3, 2026.

Where is Prescott Healthcare Solutions LLC located?

Prescott Healthcare Solutions LLC is located at 3931 N Stockton Hill Rd, Kingman, AZ 86409. The listed phone number is (928) 385-7100.

What is Prescott Healthcare Solutions LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Prescott Healthcare Solutions LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1047480) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prescott Healthcare Solutions LLC was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.