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MINGUS CENTER (LEVEL 1 SUB ACUTE AGENCY)
NPI 1225027477
Psychiatric Hospital in Cottonwood, AZ

Active since October 20, 2005
636 N MAIN ST, COTTONWOOD, AZ 86326(928) 639-4440(928) 639-3924 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2020, Aug 17, 2018 (2 updates tracked since 2018).

About Mingus Center (level 1 Sub Acute Agency) NPPES

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

MINGUS CENTER (LEVEL 1 SUB ACUTE AGENCY) (NPI 1225027477) is a healthcare organization registered as a psychiatric hospital in Cottonwood, Arizona and active in the NPI registry since October 2005. The organization lists Maria Carrillo, Finance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1225027477
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameMAIN STREET DIAGNOSTIC LLC
Location Address636 N MAIN STCottonwood, AZ 86326-3725
Mailing Address636 N Main StCottonwood, AZ 86326-3725 · (928) 639-4440 · Fax (928) 639-3924
Phone(928) 639-4440
Fax(928) 639-3924
Organization SubpartNo
Authorized OfficialMaria CarrilloFinance Coordinator · (928) 639-4440
Enumeration DateOctober 20, 2005
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
✔ NPI 1225027477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in AZ · BH-2492
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
636 N MAIN ST, Cottonwood, AZ 86326
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Other Names 1

Doing Business AsMingus Center (level 1 Sub Acute Agency)

Other Identifiers 7

Other2215360AZ · Cigna Prov Reg #
OtherBH-2492AZ · Adhs License L1 Sub Acute
Other100322AS · Cenpatico - Adults
OtherAZ0209640AZ · Bcbs Prov Reg. #
Other404204AZ · Jcahco
Medicaid887317AZ
Other3955228AZ · Aetna

Other Providers at the Same Location NPPES 3

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

SPECTRUM HEALTHCARE GROUP, INC.
Substance Abuse Rehabilitation Facility
636 N MAIN ST
COTTONWOOD, AZ 86326
Yavapai County (928) 634-2236
MR. ROBERT ALAN HICKS MSW, LISAC, BHP
Social Worker
636 N MAIN ST
COTTONWOOD, AZ 86326
Yavapai County (928) 639-4440
MAIN STREET DIAGNOSTIC, LLC
Substance Abuse Rehabilitation Facility
636 N MAIN ST
COTTONWOOD, AZ 86326
Yavapai County (928) 639-4440

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 Main Street Diagnostic LLC's NPI number?

The NPI number for Main Street Diagnostic LLC is 1225027477. It was assigned to this organization in the NPPES registry on October 20, 2005. The provider is doing business as Mingus Center (level 1 Sub Acute Agency).

Where is Main Street Diagnostic LLC located?

Main Street Diagnostic LLC is located at 636 N Main St, Cottonwood, AZ 86326. The listed phone number is (928) 639-4440.

What is Main Street Diagnostic LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

When was this NPI record last updated?

The NPPES record for Main Street Diagnostic LLC was last updated on August 22, 2020. 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.