Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COUNTY OF YAVAPAI
NPI 1811879455
Clinic/Center - Federally Qualified Health Center (FQHC) in Ash Fork, AZ

Active since July 24, 2025
112 WEST PARK AVENUE, ASH FORK, AZ 86320(928) 583-1000 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2026, Aug 1, 2026 (2 updates tracked since 2026).

About County Of Yavapai NPPES

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

COUNTY OF YAVAPAI (NPI 1811879455), doing business as Community Health Center Of Yavapai, is a healthcare organization registered as a federally qualified health center (fqhc) in Ash Fork, Arizona and active in the NPI registry since July 2025. The organization lists Leslie Robin Horton, Director, as its authorized official.

NPPES Registry Identity

NPI1811879455
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOUNTY OF YAVAPAI
Location Address112 WEST PARK AVENUEAsh Fork, AZ 86320
Mailing Address1090 Commerce DrPrescott, AZ 86305-3700 · (928) 583-1000
Organization SubpartNo
Authorized OfficialLeslie Robin HortonDirector · (928) 442-5303
Enumeration DateJuly 24, 2025
Last NPPES UpdateOctober 20, 20262 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1811879455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
112 WEST PARK AVENUE, Ash Fork, AZ 86320

Other Names 1

Doing Business AsCommunity Health Center Of Yavapai

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

County Of Yavapai is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20031204000266Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to County Of Yavapai, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner10
Family Practice5
Mental Health Counselor5
Clinical Social Worker2
Infectious Disease1
Internal Medicine1
Obstetrics/Gynecology1
Pediatric Medicine1
1 other specialty1

Nearest to this location (20)

See all 27
Nurse Practitioner
NPI 1861130312
112 W PARK AVE
Ash Fork, AZ 86320
(928) 583-1000
✔ PECOSSame address
Family Practice
NPI 1073951661
300 S 6TH ST
Williams, AZ 86046
(928) 635-4441
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1619460532
203 S CANDY LN STE 9B
Cottonwood, AZ 86326
(928) 756-7987
✔ PECOS✔ Accepts Medicare42 mi
Pediatric Medicine
NPI 1396005898
51 S BRIAN MICKELSEN PKWY
Cottonwood, AZ 86326
(928) 639-8132
✔ PECOS42 mi
Mental Health Counselor
NPI 1598231706
51 S BRIAN MICKELSEN PKWY
Cottonwood, AZ 86326
(928) 639-8132
✔ PECOS42 mi
Family Practice
NPI 1053464065
51 BRIAN MICKELSEN PKWY
Cottonwood, AZ 86326
(928) 639-8132
✔ PECOS✔ Accepts Medicare42 mi
Family Practice
NPI 1447214267
1090 COMMERCE DR
Prescott, AZ 86305
(928) 771-3122
✔ PECOS42 mi
Internal Medicine
NPI 1538680806
501 S WILLARD ST
Cottonwood, AZ 86326
(928) 649-1532
✔ PECOS43 mi
Nurse Practitioner
NPI 1215395439
1090 COMMERCE DR
Prescott, AZ 86305
(928) 583-1000
✔ PECOS✔ Accepts Medicare43 mi
Clinical Social Worker
NPI 1891319778
1090 COMMERCE DR
Prescott, AZ 86305
(928) 583-1000
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1366825978
1090 COMMERCE DR
Prescott, AZ 86305
(928) 583-1000
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1750672762
1090 COMMERCE DR
Prescott, AZ 86305
(928) 583-1000
✔ PECOS✔ Accepts Medicare43 mi
Mental Health Counselor
NPI 1215319389
1090 COMMERCE DR
Prescott, AZ 86305
(928) 583-1000
✔ PECOS✔ Accepts Medicare43 mi
Obstetrics/Gynecology
NPI 1881798312
1090 COMMERCE DR
Prescott, AZ 86305
(928) 583-1000
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1255068318
649 E COTTONWOOD ST STE 3
Cottonwood, AZ 86326
(928) 853-1273
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1669036901
3212 N WINDSONG DR STE 200
Prescott Valley, AZ 86314
(928) 583-1000
✔ PECOS✔ Accepts Medicare45 mi
Clinical Social Worker
NPI 1083288849
3212 N WINDSONG DR FL 2
Prescott Valley, AZ 86314
(928) 583-1000
✔ PECOS✔ Accepts Medicare45 mi
Nurse Practitioner
NPI 1912373234
3212 N WINDSONG DR FL 2
Prescott Valley, AZ 86314
(928) 583-1000
✔ PECOS✔ Accepts Medicare45 mi
Family Practice
NPI 1508913799
1000 AINSWORTH DR STE A220
Prescott, AZ 86305
(928) 499-3770
✔ PECOS46 mi
Infectious Disease
NPI 1356370571
1215 N BEAVER ST
Flagstaff, AZ 86001
(928) 773-2200
✔ PECOS✔ Accepts Medicare47 mi
See all 27 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 County Of Yavapai's NPI number?

The NPI number for County Of Yavapai is 1811879455. It was assigned to this organization in the NPPES registry on July 24, 2025. The provider is doing business as Community Health Center of Yavapai.

Where is County Of Yavapai located?

County Of Yavapai is located at 112 West Park Avenue, Ash Fork, AZ 86320. The listed phone number is (928) 583-1000.

What is County Of Yavapai's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is County Of Yavapai enrolled in Medicare?

Yes. County Of Yavapai is registered in the Medicare PECOS enrollment system.

When is County Of Yavapai's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through County Of Yavapai?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 9 Medicare specialties reassign their Medicare billing to County Of Yavapai. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Family Practice (5) and Mental Health Counselor (5). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does County Of Yavapai accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list County Of Yavapai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for County Of Yavapai was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.