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PRESCOTT HEALTHCARE SOLUTIONS LLC
NPI 1053252940
Clinic/Center - Rural Health in Cottonwood, AZ

Active since April 03, 2026CLIA 03D2256753 · Waiver
450 S WILLARD ST STE 103, COTTONWOOD, AZ 86326(928) 634-9573(928) 634-0135 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 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 1053252940) is a healthcare organization registered as a rural health in Cottonwood, Arizona and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Michael Victor O'neil, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053252940
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRESCOTT HEALTHCARE SOLUTIONS LLC
Location Address450 S WILLARD ST STE 103Cottonwood, AZ 86326-6744
Mailing Address450 S Willard St Ste 103Cottonwood, AZ 86326-6744 · (928) 634-9573 · Fax (928) 634-0135
Phone(928) 634-9573
Fax(928) 634-0135
Organization SubpartNo
Authorized OfficialMichael Victor O'neilCeo · (480) 900-7256
Enumeration DateApril 3, 2026
NPPES CertifiedApril 3, 2026
✔ NPI 1053252940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
450 S WILLARD ST STE 103, Cottonwood, AZ 86326
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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 03D2256753

Prescott Healthcare Solutions LLC Dba Optima Medical · Cottonwood, AZ
Active · expires Mar 27, 2028
CLIA Number03D2256753
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorGabriella Hancock
Laboratory Phone(928) 634-9573
Laboratory LocationPrescott Healthcare Solutions LLC Dba Optima Medical450 S Willard St Ste 103, 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 9

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

ELENA SUZANNE SHEA MD
Family Medicine
450 S WILLARD ST STE 103
COTTONWOOD, AZ 86326
Yavapai County (928) 634-9573
DR. HARRY LAVERN GALE II DO
Internal Medicine
450 S WILLARD ST STE 103
COTTONWOOD, AZ 86326
Yavapai County (928) 664-9573
MRS. ELEANOR HEBERT BOURQUE FNP-C
Nurse Practitioner (Family)
450 S WILLARD ST STE 103
COTTONWOOD, AZ 86326
Yavapai County (928) 634-9573
DR. PHILLIP WAYNE SMITH DNP
Nurse Practitioner (Acute Care)
450 S WILLARD ST STE 103
COTTONWOOD, AZ 86326
Yavapai County (928) 634-9573
ARA BETH AVAKIAN ND, FNP-BC
Nurse Practitioner (Family)
450 S WILLARD ST STE 103
COTTONWOOD, AZ 86326
Yavapai County (928) 634-9573
EMILY ROSE GARCIA-WOOD FNP-BC
Nurse Practitioner (Family)
450 S WILLARD ST STE 103
COTTONWOOD, AZ 86326
Yavapai County (928) 634-9573
DR. NOURA LOUISE ELEID MD, DIPL. OM
Internal Medicine
450 S WILLARD ST STE 103
COTTONWOOD, AZ 86326
Yavapai County (928) 634-9573
DEVIN ERIN EAGAN PA-C
Physician Assistant
450 S WILLARD ST STE 103
COTTONWOOD, AZ 86326
Yavapai County (928) 634-9573

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 1053252940. 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 450 S Willard St Ste 103, Cottonwood, AZ 86326. The listed phone number is (928) 634-9573.

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 03D2256753) is associated with this NPI, valid through March 27, 2028. 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.