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BEACON TREATMENT CENTER SHOW LOW
NPI 1497616288
Clinic/Center - Rehabilitation in Show Low, AZ

Active since November 20, 2025CLIA 03D2291835 · Waiver
1201 E COOLEY ST STE ABC, SHOW LOW, AZ 85901(928) 251-2785(928) 251-2312 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beacon Treatment Center Show Low NPPES

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

BEACON TREATMENT CENTER SHOW LOW (NPI 1497616288) is a healthcare organization registered as a rehabilitation in Show Low, Arizona and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists James Applegate, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1497616288
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameBEACON TREATMENT CENTER SHOW LOW
Location Address1201 E COOLEY ST STE ABCShow Low, AZ 85901-5122
Mailing Address1201 E Cooley St Ste AbcShow Low, AZ 85901-5122
Phone(928) 251-2785
Fax(928) 251-2312
Organization SubpartYesParent: Beacon Charities
Authorized OfficialJames ApplegateExecutive Director · (928) 551-0505
Enumeration DateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1497616288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
1201 E COOLEY ST STE ABC, Show Low, AZ 85901
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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 03D2291835

Beacon Charities, Dba Beacon Treatment Center · Vernon, AZ
Active · expires Oct 16, 2027
CLIA Number03D2291835
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorJames K. Applegate
Laboratory Phone(928) 251-2785
Laboratory LocationBeacon Charities, Dba Beacon Treatment Center30 Acr 3398, Vernon, AZ 85940
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Beacon Treatment Center Show Low's NPI number?

The NPI number for Beacon Treatment Center Show Low is 1497616288. It was assigned to this organization in the NPPES registry on November 20, 2025.

Where is Beacon Treatment Center Show Low located?

Beacon Treatment Center Show Low is located at 1201 E Cooley St Ste Abc, Show Low, AZ 85901. The listed phone number is (928) 251-2785.

What is Beacon Treatment Center Show Low's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Does Beacon Treatment Center Show Low hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2291835) is associated with this NPI, valid through October 16, 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 Beacon Treatment Center Show Low was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.