SPECTRUM HEALTHCARE GROUP, INC
NPI 1043623978
Family Medicine in Cottonwood, AZ

Active since June 09, 2014CLIA 03D2019085 · Waiver
651 W MINGUS AVE, COTTONWOOD, AZ 86326(928) 634-2236(928) 634-8960 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2021, Mar 9, 2020, Jan 26, 2017 (3 updates tracked since 2017).

About Spectrum Healthcare Group, Inc NPPES

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

SPECTRUM HEALTHCARE GROUP, INC (NPI 1043623978), doing business as Verde Valley Guidance Clinic, is a healthcare organization registered as a family medicine in Cottonwood, Arizona and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Corinne Bailey, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1043623978
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSPECTRUM HEALTHCARE GROUP, INC
Location Address651 W MINGUS AVECottonwood, AZ 86326-4006
Mailing Address8 E Cottonwood StCottonwood, AZ 86326-6237 · (877) 634-7333 · Fax (866) 984-3891
Fax(928) 634-8960
Organization SubpartNo
Authorized OfficialCorinne BaileyCredentialing Specialist · (877) 634-7333
Enumeration DateJune 9, 2014
Last NPPES UpdateJuly 21, 20213 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
NPI 1043623978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
651 W MINGUS AVE, Cottonwood, AZ 86326

Other Names 1

Former Legal Business NameVerde Valley Guidance Clinic

Other Identifiers 1

Medicaid153499AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 03D2019085

Spectrum Healthcare Group, Inc · Cottonwood, AZ
Active · expires Jan 20, 2027
CLIA Number03D2019085
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorFawad Rast
Laboratory Phone(877) 634-7333
Laboratory LocationSpectrum Healthcare Group, Inc8 E Cottonwood St Bldg C, Cottonwood, AZ 86326
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
651 W MINGUS AVE
COTTONWOOD, AZ 86326
Surgery
651 W MINGUS AVE, SUITE 1D
COTTONWOOD, AZ 86326
Clinic/Center (Ambulatory Surgical)
651 W MINGUS AVE, SUITE 2A
COTTONWOOD, AZ 86326
Nurse Practitioner (Family)
651 W MINGUS AVE
COTTONWOOD, AZ 86326
Nurse Practitioner (Family)
651 W MINGUS AVE
COTTONWOOD, AZ 86326
Nurse Practitioner (Family)
651 W MINGUS AVE
COTTONWOOD, AZ 86326
Family Medicine
651 W MINGUS AVE
COTTONWOOD, AZ 86326
Nurse Practitioner (Family)
651 W MINGUS AVE
COTTONWOOD, AZ 86326

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 Spectrum Healthcare Group, Inc's NPI number?

The NPI number for Spectrum Healthcare Group, Inc is 1043623978. It was assigned to this organization in the NPPES registry on June 9, 2014. The provider was formerly known as Verde Valley Guidance Clinic.

Where is Spectrum Healthcare Group, Inc located?

Spectrum Healthcare Group, Inc is located at 651 W Mingus Ave, Cottonwood, AZ 86326. The listed phone number is (928) 634-2236.

What is Spectrum Healthcare Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Spectrum Healthcare Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2019085) is associated with this NPI, valid through January 20, 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 Spectrum Healthcare Group, Inc was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.