Organization · Type 2 NPI
Caspian Gleam Medical Center LLC
Clinic/Center · Prescott, AZ
NPI number
1174073837
Active
Practice location
3130 Stillwater Drive, Suite B
Prescott, AZ 86305
Mailing address
3270 Rose Ln
Prescott, AZ 86305-3744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Other clinic/center providers in Prescott
About NPI 1174073837
Caspian Gleam Medical Center LLC's National Provider Identifier is 1174073837, issued on Oct 6, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Prescott, AZ. The record was last updated on Oct 6, 2016.