Medical Facilities Tuesday, May 01, 2018 - azdhs.gov CHIRICAHUA COMMUNITY HEALTH CENTER - CLIFF WHETTEN CLINIC 10566 HIGHWAY 191 ELFRIDA 85610 (520)364-1429 12/01/2017 11/30/2018 License/Approval

Medical Facilities Monday, June 04, 2018

County APACHE Total = 21

Sub-Type : END STAGE RENAL DISEASE FACILITIES - MEDICARE

CHINLE DIALYSIS FACILITY

US HIGHWAY 191

CHINLE 86503

(928)674-3674

License/Approval Dates

to

Capacity :

License # Name Contact Information

(928)674-3674

Tele:

Fax: Medcaid_Cert: Not Certified

Not ApplicableAZ

Sub-Type : FEDERALLY QUALIFIED HEALTH CENTER

OTC5163 NORTH COUNTRY HEALTHCARE - ROUND VALLEY

488 SOUTH MOUNTAIN AVENUE

SPRINGERVILLE 85938

(928)522-9804 08/01/2017 07/31/2018


to

Capacity :


(928)522-9411

Tele:


Not ApplicableAZ

OTC2749 NORTH COUNTRY HEALTHCARE, INC. - ST. JOHNS

625 NORTH 13TH WEST

SAINT JOHNS 85936

(928)522-9879 10/01/2017 09/30/2018


to

Capacity :


(928)522-9411

Tele:


Not ApplicableAZ

Sub-Type : HOME HEALTH AGENCY - MEDICARE

HHA7277 TACHIINII NURSING SERVICES, INC

ONE MISSION LANE W HWY 191

ROCK POINT 86545

(928)659-4141 08/01/2017 07/31/2018


to

Capacity :


(844)678-3205

Tele:


Not ApplicableAZ

Sub-Type : HOSPICE - MEDICARE




HSPC7590 TACHIINII NURSING SERVICES, INC.

NAVAJO LUTHERAN MISSION OF ONE MISSION LANE HWY191

ROCK POINT 86545

(844)678-2968 03/01/2017 02/28/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

Sub-Type : HOSPITAL - CRITICAL ACCESS

RGH3899 SAGE MEMORIAL HOSPITAL

STATE ROUTE 264 SOUTH 191

GANADO 86505

(928)755-4541 10/01/2016 09/30/2019


to

Capacity :


(928)755-4659

Tele:

Fax: Medcaid_Cert: Certified

25AZ

H2530 WHITE MOUNTAIN REGIONAL MEDICAL CENTER


SPRINGERVILLE 85938

(928)333-4368 08/01/2017 07/31/2018


to

Capacity :


(928)333-4369

Tele:


25AZ

Sub-Type : HOSPITAL - SHORT TERM

DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY

US HWY 191, HOSPITAL ROAD

CHINLE 86503

(928)674-7001


to

Capacity :


( ) -

Tele:


Not ApplicableAZ




PHS INDIAN HOSPITAL

PO BOX 649

FORT DEFIANCE 86504

(928)729-8000


to

Capacity :


(602)263-1618

Tele:


Not ApplicableAZ

Sub-Type : OUTPATIENT TREATMENT CENTER

OTC4459 APACHE COUNTY PUBLIC HEALTH SERVICES DISTRICT


SPRINGERVILLE 85938

(928)333-2415 09/01/2017 08/31/2018


to

Capacity :


(928)337-7592

Tele:


Not ApplicableAZ

OTC4620 APACHE COUNTY PUBLIC HEALTH SERVICES DISTRICT

110 EAST FIRST STREET SOUTH

SAINT JOHNS 85936

(928)337-7532 12/01/2017 11/30/2018


to

Capacity :


(928)337-7592

Tele:


Not ApplicableAZ

OTC8777 COMMUNITY HOSPITAL CLINIC - WITTMAN

32919 CENTER STREET, SUITE B

WITTMANN 85361

(928)668-1845 03/26/2018 02/28/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ




OTC6676 LITTLE COLORADO BEHAVIORAL HEALTH CENTERS

470 WEST CLEVELAND

SAINT JOHNS 85936

(928)337-4301 10/01/2017 09/30/2018


to

Capacity :


(928)337-2269

Tele:


Not ApplicableAZ

OTC6047 LITTLE COLORADO BEHAVIORAL HEALTH CENTERS

50 NORTH HOPI

SPRINGERVILLE 85938

(928)333-2683 10/01/2016 09/30/2017


to

Capacity :


(928)333-5595

Tele:


Not ApplicableAZ

OTC5121 NORTHERN APACHE COUNTY SPECIAL HEALTH

RIO VISTA ESTATES, LOT 24

SANDERS 86512

(928)688-3903 06/01/2018 05/31/2019


to

Capacity :


(928)688-4471

Tele:


Not ApplicableAZ

OTC6063 SAGE MEMORIAL HOSPITAL BEHAVIORAL HEALTH CLINIC

HIGHWAY 191 AND HIGHWAY 264

GANADO 86505

(928)755-4658 02/01/2018 01/31/2019


to

Capacity :


(928)755-4747

Tele:


Not ApplicableAZ




OTC2967 ST. MICHAELS CLINIC

359 A WEST HIGHWAY 264

SAINT MICHAELS 86511

(928)810-3800 10/01/2017 09/30/2018


to

Capacity :


(928)810-3811

Tele:


Not ApplicableAZ

OTC7968 SUMMIT HEALTHCARE MOUNTAIN AVENUE CLINIC

606 MAIN STREET N

EAGAR 85925

(928)333-5333 12/01/2017 11/30/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

Sub-Type : RURAL HEALTH CLINICS - MEDICARE

GREASEWOOD CLINIC

PO BOX 457, HIGHWAY 264

GANADO 86505

(928)654-3208


to

Capacity :


(928)755-4831

Tele:


Not ApplicableAZ

SAGE OUTPATIENT CLINIC

PO BOX 457, HIGHWAY 264

GANADO 86505

(928)755-3411


to

Capacity :


( ) -

Tele:


Not ApplicableAZ




OTC8536 WHITE MOUNTAIN REGIONAL MEDICAL CENTER CLINIC


SPRINGERVILLE 85938

(928)333-4368 10/04/2017 09/30/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

County CLARK Total = 2

Sub-Type : ARIZONA HOME HEALTH AGENCY ONLY

HHA3024 ALWAYS BETTER CARE HOME HEALTH

3650 SOUTH POINT CIRCLE, SUITE 116

LAUGHLIN 89029

(702)298-0555 07/01/2017 06/30/2018


to

Capacity :


(702)298-0577

Tele:


Not ApplicableN

HHA4779 MESA VIEW HOME CARE, LLC

330 FALCON RIDGE PARKWAY, BUILDING 200, SUITE A

MESQUITE 89027

(702)346-2460 02/01/2017 01/31/2018


to

Capacity :


(702)346-2460

Tele:


Not ApplicableN

County COCHISE Total = 94

Sub-Type : AMBULATORY SURGICAL CENTER - MEDICARE




COCHISE EYE AND LASER/RF EYE PC

2445 EAST WILLCOX DRIVE

SIERRA VISTA 85635

(520)458-8131


to

Capacity :


(520)458-0422

Tele:


Not ApplicableAZ

OSC8327 SOUTHWESTERN EYE CENTER - SIERRA VISTA SURGERY CENTER

75 COLONIA DE SALUD, SUITE A-100

SIERRA VISTA 85635

(520)459-6860 05/01/2018 04/30/2019


to

Capacity :


(480)833-6246

Tele:


Not ApplicableAZ


HHA4603 BRIGHTSTAR HEALTHCARE

4024 LA LINDA WAY

SIERRA VISTA 85635

(520)335-6680 03/01/2018 02/28/2019


to

Capacity :


(520)335-6681

Tele:


Not ApplicableAZ

Sub-Type : BEHAVIORAL HEALTH INPATIENT FACILITY - INPT BH SUBACUTE

IFBH8915 BENSON INPATIENT

470 SOUTH OCOTILLO, #2

BENSON 85602

(480)831-7566 04/20/2018 03/31/2019


to

Capacity :


( ) -

Tele:


16AZ

Sub-Type : COUNSELING




CSLG6621 ALTERNATIVES COUNSELING SERVICES, INC & ASSOCIATES

999 EAST FRY BOULEVARD, SUITE 305

SIERRA VISTA 85635

(520)459-1148 07/01/2018 06/30/2019


to

Capacity :


(520)459-1454

Tele:


Not ApplicableAZ

CSLG7707 COMMUNITY PROVIDER OF ENRICHMENT SERVICES INC.

324 SOUTH OCOTILLO AVENUE

BENSON 85602

(520)884-7954 06/01/2018 05/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

CSLG8376 DOUGLAS OUTPATIENT TREATMENT CENTER

936 F AVENUE, SUITE B

DOUGLAS 85607

(520)836-4278 06/01/2018 05/31/2019


to

Capacity :


(520)836-1786

Tele:


Not ApplicableAZ

CSLG8937 GROSSMAN & GROSSMAN, LTD

4669 NORTH COMMERCE DRIVE, SUITE 4A

SIERRA VISTA 85635

(602)468-2077 05/10/2018 04/30/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ




CSLG8798 P S A BEHAVIORAL HEALTH AGENCY

1023 F AVENUE

DOUGLAS 85607

(602)995-1767 03/29/2018 02/28/2019


to

Capacity :


(602)995-1863

Tele:


Not ApplicableAZ

CSLG8506 WELLNESS CONNECTIONS

661 NORTH G AVENUE

DOUGLAS 85607

(520)364-6767 09/18/2017 08/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ


1201 EAST FRY ROAD

SIERRA VISTA 85635

(520)459-2624 09/18/2017 08/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ


548 WEST FRY BOULEVARD

SIERRA VISTA 85635

(520)452-0080 09/18/2017 08/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ





OTC4246 DOUGLAS DIALYSIS CENTER

99 16TH STREET

DOUGLAS 85607

(520)364-2204 09/01/2017 08/31/2018


to

Capacity :


(520)364-2296

Tele:


12AZ

OTC0605 SIERRA VISTA DIALYSIS

629 NORTH HIGHWAY 90 BYP, SUITE 6

SIERRA VISTA 85635

(615)341-6814 04/01/2018 03/31/2019


to

Capacity :


(520)459-7129

Tele:


20AZ


OTC0924 CHIRICAHUA COMMUNITY HEALTH CENTER - CLIFF WHETTEN CLINIC

10566 HIGHWAY 191

ELFRIDA 85610

(520)364-1429 12/01/2017 11/30/2018


to

Capacity :


(520)364-4261

Tele:


Not ApplicableAZ

OTC7227 CHIRICAHUA COMMUNITY HEALTH CENTERS SIERRA VISTA

155 CALLE PORTAL, SUITE 300

SIERRA VISTA 85635

(520)459-3012 08/01/2017 07/31/2018


to

Capacity :


(520)364-4261

Tele:


Not ApplicableAZ




OTC8372 CHIRICAHUA COMMUNITY HEALTH CENTERS, INC

4755 CAMPUS DRIVE

SIERRA VISTA 85635

(520)364-1429 06/01/2018 05/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC3370 CHIRICAHUA COMMUNITY HEALTH CENTERS, INC - BISBEE

108 ARIZONA STREET

BISBEE 85603

(520)364-1429 12/01/2017 11/30/2018


to

Capacity :


(520)364-4261

Tele:


Not ApplicableAZ

OTC7412 CHIRICAHUA COMMUNITY HEALTH CENTERS, INC, CCCHI VISTA PEDIATRICS

155 CALLE PORTAL, SUITE 700

SIERRA VISTA 85635

(520)364-1429 11/01/2017 10/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

CHIRICAHUA COMMUNITY HEALTH CENTERS, INC.

815 EAST 15TH STREET

DOUGLAS 85607

(520)364-5437


to

Capacity :


(520)364-4261

Tele:


Not ApplicableAZ




OTC3057 CHIRICAHUA COMMUNITY HEALTH CENTERS, INC.

1100 F AVENUE

DOUGLAS 85607

(520)364-1429 10/01/2016 09/30/2018


to

Capacity :


(520)364-6970

Tele:


Not ApplicableAZ


HHA5230 BAYADA HOME HEALTH CARE, INC.

1967 SOUTH FRONTAGE ROAD

SIERRA VISTA 85635

(520)459-4800 11/01/2017 10/31/2018


to

Capacity :


(520)458-5900

Tele:


Not ApplicableAZ

HHA0212 COPPER VALLEY HOME HEALTH

101 COLE AVENUE

BISBEE 85603

(520)432-7450 07/01/2018 06/30/2019


to

Capacity :


(520)432-8092

Tele:


Not ApplicableAZ

HHA7010 LEGACY HOME HEALTH CARE GRAHAM COUNTY

145 EAST MALEY STREET

WILLCOX 85643

(928)632-2373


to

Capacity :


( ) -

Tele:


Not ApplicableAZ




HHA4792 LEGACY HOME HEALTHCARE OF SOUTHERN ARIZONA, LLC

4996 EAST MEDITERRANEAN DRIVE, SUITE D

SIERRA VISTA 85635

(520)335-6118 09/01/2017 08/31/2018


to

Capacity :


(888)504-1425

Tele:


Not ApplicableAZ

HHA4118 THOROUGHCARE HOME HEALTH

4524 EAST HEREFORD ROAD

HEREFORD 85615

(520)803-1234 01/01/2018 12/31/2018


to

Capacity :


(520)803-6552

Tele:


Not ApplicableAZ

HHA6232 TRINITY VISITING NURSE & HOMECARE, LLC

302 EL CAMINO REAL, SUITE 10F

SIERRA VISTA 85635

(520)458-1536 01/01/2018 12/31/2018


to

Capacity :


(520)458-4245

Tele:


Not ApplicableAZ


HSPC0023 CASA DE LA PAZ HOSPICE

185 SOUTH MOORMAN AVENUE

SIERRA VISTA 85635

(520)263-3835 05/01/2018 04/30/2019


to

Capacity :


(520)417-3297

Tele:


Not ApplicableAZ




HSPC2902 CHARLES WM. LEIGHTON, JR. HOSPICE, INC.

524 WEST MALEY PLACE

WILLCOX 85643

(520)384-5878 08/01/2017 07/31/2018


to

Capacity :


(520)384-4127

Tele:


Not ApplicableAZ

HSPC4374 VALOR HOSPICECARE, LLC

1048 EAST FRY BOULEVARD, SUITE E

SIERRA VISTA 85635

(520)458-9450 03/01/2018 02/28/2019


to

Capacity :


(520)458-9455

Tele:


Not ApplicableAZ


RGH0096 BENSON HOSPITAL


BENSON 85602

(520)586-2261 07/01/2018 06/30/2019


to

Capacity :


(520)586-2265

Tele:


22AZ

RGH0098 COPPER QUEEN COMMUNITY HOSPITAL

101 COLE AVENUE

BISBEE 85603

(520)432-6401 04/01/2018 03/31/2019


to

Capacity :


(520)432-1724

Tele:


14AZ




RGH0128 NORTHERN COCHISE COMMUNITY HOSPITAL, INC.

901 WEST REX ALLEN DRIVE

WILLCOX 85643

(520)384-3541 11/01/2017 10/31/2018


to

Capacity :


(520)384-6365

Tele:


24AZ

Sub-Type : HOSPITAL - NON-PARTICIPATING

US ARMY HOSPITAL-FT HUACHUCA

45001 WINROW SREET

FORT HUACHUCA 85613

(520)444-4444


to

Capacity :


( ) -

Tele:


Not ApplicableAZ


H7130 CANYON VISTA MEDICAL CENTER

5700 EAST HIGHWAY 90

SIERRA VISTA 85635

(520)263-3001 04/01/2018 03/31/2021


to

Capacity :


(520)417-3297

Tele:


100AZ

Sub-Type : MED-SINGLE GROUP LICENSURE/OTC

OTC BENSON HOSPITAL PHYSICAL THERAPY

500 SOUTH HIGHWAY 80, SUITE B

BENSON 85602

(520)720-6535


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

RGH0096




OTC CANYON VISTA MEDICAL CENTER INFUSION AND ADVANCED WOUND CARE CENTER

5750 EAST HIGHWAY 90, SUITE 150 & 190

SIERRA VISTA 85635

(520)263-3001


to

Capacity :


(520)417-3297

Tele:


Not ApplicableAZ

H7130

OTC CANYON VISTA MEDICAL CENTER LAB DRAWS

185 SOUTH MOORMAN AVENUE

SIERRA VISTA 85635

(520)263-3001


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

H7130

OTC CANYON VISTA MEDICAL CENTER REHABILITATION SERVICES

5750 EAST HIGHWAY 90 SUITE 100

SIERRA VISTA 85635

(520)263-3001


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

H7130

OTC COPPER QUEEN COMMUNITY HOSPITAL-DOUGLAS EMERGENCY DEPARTMENT

100 EAST 5TH STREET

DOUGLAS 85607

(520)805-6872


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

RGH0098

Sub-Type : OUTPATIENT SURGERY CENTER



Sub-Type : OUTPATIENT SURGERY CENTER

OSC8786 CORONADO SURGERY CENTER

150 SOUTH CORONADO, SUITE100

SIERRA VISTA 85635

(520)977-4747 03/21/2018 02/28/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ


OTC5111 15TH STREET PEDIATRIC CENTER OF EXCELLENCE

815 15TH STREET

DOUGLAS 85607

(520)364-1429 05/01/2018 04/30/2019


to

Capacity :


(520)364-2998

Tele:


Not ApplicableAZ

OTC8056 ARIZONA COUNSELING & TREATMENT SERVICES

114 & 116 SOUTH ARIZONA AVENUE

WILLCOX 85644

(928)376-0220 01/01/2018 12/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC7526 ARIZONA'S CHILDREN ASSOCIATION

942 EAST FRY BOULEVARD

SIERRA VISTA 85635

(602)234-3733 01/01/2018 12/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ




OTC7709 BANNER UNIVERSITY - DIAMOND CHILDREN'S PEDIATRIC CARDIOLOGY - DOUGLAS

815 EAST 15TH STREET

DOUGLAS 85607

(520)694-5437 06/01/2018 05/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC7028 BANNER UNIVERSITY MEDICAL GROUP SIERRA VISTA

3533 CANYON DE FLORES, SUITE C

SIERRA VISTA 85650

(520)458-2000 02/01/2018 01/31/2019


to

Capacity :


(520)694-1425

Tele:


Not ApplicableAZ

OTC8294 BENSON HOSPITAL CARE CLINIC

599 WEST 4TH STREET

BENSON 85602

(520)586-9094 04/27/2017 03/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC6848 BENSON OUTPATIENT SERVICE CENTER

470 SOUTH OCOTILLO, #1

BENSON 85602

(480)831-7566 05/03/2018 08/31/2018


to

Capacity :


(480)831-7563

Tele:


Not ApplicableAZ




OTC8690 CARING CONNECTIONS FOR SPECIAL NEEDS, LLC

4511 NORTH COMMERCE DRIVE

SIERRA VISTA 85635

(520)686-9436 01/22/2018 12/31/2018


to

Capacity :


(480)586-4710

Tele:


Not ApplicableAZ


870 WEST 4TH STREET

BENSON 85602

(520)686-9436 12/01/2017 11/30/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ


1815 9TH STREET

DOUGLAS 85607

(520)686-9436 03/01/2017 02/28/2018


to

Capacity :


(520)586-4710

Tele:


Not ApplicableAZ


1019 F AVENUE

DOUGLAS 85607

(520)639-9006 06/01/2018 05/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ




OTC8484 CARONDELET HEART AND VASCULAR INSTITUTE PHYSICIANS

5750 EAST HIGHWAY 90, SUITE 200

SIERRA VISTA 85635

(520)833-5130 09/06/2017 08/31/2018


to

Capacity :


(520)297-0626

Tele:


Not ApplicableAZ

OTC0317 COCHISE HEALTH & SOCIAL SERVICES

450 SOUTH HASKELL

WILLCOX 85643

(520)384-7100 07/01/2018 06/30/2019


to

Capacity :


(520)384-0309

Tele:


Not ApplicableAZ


126 WEST 5TH STREET

BENSON 85602

(520)586-8200 10/01/2017 09/30/2018


to

Capacity :


(520)586-2051

Tele:


Not ApplicableAZ


1012 G AVENUE

DOUGLAS 85607

(520)805-5600 06/01/2018 05/31/2019


to

Capacity :


(520)364-5453

Tele:


Not ApplicableAZ




OTC0314 COCHISE HEALTH AND SOCIAL SERVICES

1415 WEST MELODY LANE, BUILDING A

BISBEE 85603

(520)432-9400 10/01/2017 09/30/2018


to

Capacity :


(520)432-9480

Tele:


Not ApplicableAZ

OTC0316 COCHISE HEALTH AND SOCIAL SERVICES

4115 EAST FOOTHILLS DRIVE, SUITE A

SIERRA VISTA 85635

(520)803-3900 11/01/2017 10/31/2018


to

Capacity :


(520)459-8195

Tele:


Not ApplicableAZ

OTC6254 COMMUNITY HEALTH ASSOCIATES - BISBEE

1326 HIGHWAY 92, SUITE J

BISBEE 85603

(928)376-0026 06/01/2018 05/31/2019


to

Capacity :


(928)376-0026

Tele:


Not ApplicableAZ

OTC6460 COMMUNITY HEALTH ASSOCIATES - DOUGLAS

1701 NORTH DOUGLAS AVENUE

DOUGLAS 85607

(520)366-3133 06/01/2018 05/31/2019


to

Capacity :


(928)782-2298

Tele:


Not ApplicableAZ




OTC8548 COMMUNITY PARTNERS INTERGRATED HEALTHCARE, INC SIERRA VISTA IC

2273 EAST WILCOX DRIVE

SIERRA VISTA 85635

(520)325-4268 10/18/2017 09/30/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC8054 COMMUNITY PARTNERS INTERGRATED HEALTHCARE, INC SIERRA VISTA OP

2039 EAST WILCOX DRIVE, SUITES A & B

SIERRA VISTA 85635

(928)376-0220 01/01/2018 12/31/2018


to

Capacity :


(928)783-9262

Tele:


Not ApplicableAZ

OTC8046 COMMUNITY PARTNERS INTERGRATED HEALTHCARE, INC BENSON IC

500 SOUTH HIGHWAY 80, SUITE A

BENSON 85602

(928)376-0220 01/01/2018 12/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC6905 EASTER SEALS BLAKE FOUNDATION

55 SOUTH FIFTH STREET

SIERRA VISTA 85635

(520)240-6264 01/01/2018 12/31/2018


to

Capacity :


(520)452-0814

Tele:


Not ApplicableAZ




ECHOING HOPE RANCH

8344 SOUTH HEREFORD ROAD

HEREFORD 85615

(520)508-2087


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC5854 GOOD SAMARITAN SOCIETY - QUIBURI MISSION

850 SOUTH HIGHWAY 80

BENSON 85602

(520)586-2372 10/01/2017 09/30/2018


to

Capacity :


(520)586-7003

Tele:


Not ApplicableAZ

OTC4321 HIGH DESERT CLINIC URGENT AND OCCUPATIONAL CARE, LLC

77 EAST FRY BOULEVARD

SIERRA VISTA 85635

(520)459-8915 12/01/2017 11/30/2018


to

Capacity :


(520)458-9424

Tele:


Not ApplicableAZ

OTC6687 IN BALANCE COUNSELING, INC.

3331 NORTH IN BALANCE RANCH ROAD

HUACHUCA CITY 85616

(520)722-9631 09/01/2017 08/31/2018


to

Capacity :


(520)722-9676

Tele:


Not ApplicableAZ




OTC5503 MAX MOTION PHYSICAL THERAPY LIMITED PARTNERSHIP

3455 CANYON DE FLORES, SUITE B

SIERRA VISTA 85650

(713)297-7000 08/31/2018 08/31/2019


to

Capacity :


(520)378-2683

Tele:


Not ApplicableAZ

OTC6627 P S A BEHAVIORAL HEALTH AGENCY

1326 HIGHWAY 92, SUITE K

BISBEE 85603

(602)995-1767 08/01/2018 07/31/2019


to

Capacity :


(602)995-1863

Tele:


Not ApplicableAZ

OTC6116 P S A BEHAVIORAL HEALTH AGENCY

1500 15TH STREET, ROOM 608

DOUGLAS 85607

(602)995-1767 12/01/2017 11/30/2018


to

Capacity :


(602)995-1863

Tele:


Not ApplicableAZ

OTC6065 PINAL HISPANIC COUNCIL

1940 11TH STREET

DOUGLAS 85607

(520)364-4508 02/01/2018 01/31/2019


to

Capacity :


(520)364-6439

Tele:


Not ApplicableAZ




OTC6246 PINAL HISPANIC COUNCIL

1930 11TH STREET

DOUGLAS 85607

(520)364-4508 02/01/2018 01/31/2019


to

Capacity :


(520)364-6439

Tele:


Not ApplicableAZ

OTC3070 PROGRESSIVE HEALTHCARE GROUP

300 SOUTH OCOTILLO

BENSON 85602

(520)586-9111 11/01/2017 10/31/2018


to

Capacity :


(520)586-9091

Tele:


Not ApplicableAZ

OTC7653 SEABHS BENSON OUTPATIENT TREATMENT CENTER


BENSON 85602

(520)586-0800 04/01/2018 03/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC6892 SEABHS SIERRA VISTA OUTPATIENT TREATMENT CENTER

4755 CAMPUS DRIVE

SIERRA VISTA 85635

(520)221-0468 05/01/2018 04/30/2019


to

Capacity :


(520)586-6111

Tele:


Not ApplicableAZ




OTC7157 SIERRA VISTA MEDICAL GROUP MULTI SPECIALTY CLINIC


SIERRA VISTA 85635

(520)263-3835 05/01/2018 04/30/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC7666 SIERRA VISTA MEDICAL GROUP OB/GYN CLINIC

5750 EAST HIGHWAY 90, SUITES 300A & 300B

SIERRA VISTA 85635

(520)263-3835 05/01/2018 04/30/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC7158 SIERRA VISTA MEDICAL GROUP PEDIATRICS CLINIC


SIERRA VISTA 85635

(520)263-3835 05/01/2018 04/30/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC7737 SIERRA VISTA MEDICAL GROUP SURGERY CLINIC

75 COLONIA DE SALUD, SUITE 100 C

SIERRA VISTA 85635

(520)263-3835 07/01/2018 06/30/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ




OTC8144 SOUTHWESTERN EYE CENTER - SIERRA VISTA CLINIC

75 COLONIA DE SALUD, SUITE A100

SIERRA VISTA 85635

(520)459-6860 02/01/2018 01/31/2019


to

Capacity :


(520)459-6858

Tele:


Not ApplicableAZ

OTC8142 SOUTHWESTERN EYE CENTER - WILLCOX CLINIC

780 REX ALLEN DRIVE

WILLCOX 85643

(520)384-2427 02/01/2018 01/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC6995 TELECARE SIERRA VISTA ACT

75 NORTH GARDEN AVENUE

SIERRA VISTA 85635

(520)459-9929 01/01/2018 12/31/2018


to

Capacity :


(510)217-9632

Tele:


Not ApplicableAZ

OTC8507 TMC ONE

890 WEST 4TH STREET

BENSON 85602

(520)324-4910 09/01/2018 08/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ




OTC6801 TOMBSTONE PATIENT EXPRESS

7 NORTH SAN DIEGO STREET

TOMBSTONE 85638

(520)457-2374 08/01/2018 07/31/2019


to

Capacity :


(520)417-3919

Tele:


Not ApplicableAZ

OTC6143 WILLCOX OUTPATIENT TREATMENT CENTER

404 REX ALLEN DRIVE

WILLCOX 85643

(520)221-0468 02/01/2018 01/31/2019


to

Capacity :


(520)586-6111

Tele:


Not ApplicableAZ

Sub-Type : PORTABLE X-RAY SUPPLIERS - MEDICARE

OTC6285 VISTA MOBILE IMAGING

1865 PASEO SAN LUIS, SUITE B

SIERRA VISTA 85635

(520)207-1560 02/01/2018 01/31/2019


to

Capacity :


(520)398-6238

Tele:


Not ApplicableAZ


OTC BENSON HOSPITAL CORPORATION

688 WEST 4TH STREET SUITE B

BENSON 85602

(520)586-2261


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

RGH0096




OTC COPPER QUEEN COMMUNITY HOSPITAL-BISBEE RHC

101 COLE AVENUE

BISBEE 85603

(520)432-2042


to

Capacity :


(520)432-7724

Tele:


Not ApplicableAZ

H0098

OTC COPPER QUEEN COMMUNITY HOSPITAL-DOUGLAS RHC

100 EAST 5TH STREET

DOUGLAS 85607

(520)364-7659


to

Capacity :


(520)432-1724

Tele:


Not ApplicableAZ

H0098

OTC COPPER QUEEN COMMUNITY HOSPITAL-PALOMINAS HEREFORD RHC

10524 EAST HIGHWAY 92

PALOMINAS 85615

(520)366-0300


to

Capacity :


(520)432-1724

Tele:


Not ApplicableAZ

H0098

OTC SULPHUR SPRINGS MEDICAL CENTER

900 WEST SCOTT

WILLCOX 85643

(520)384-4421


to

Capacity :


(520)384-4645

Tele:


Not ApplicableAZ

RGH0128




OTC SUNSITES MEDICAL CLINIC

223 NORTH FRONTAGE ROAD

PEARCE 85625

(520)826-1089


to

Capacity :


(520)384-4645

Tele:


Not ApplicableAZ

RGH0128

Sub-Type : STATE ONLY

HSPC8591 LEGACY HOME HEALTH CARE OF SOUTHERN ARIZONA, LLC

918 WEST REX ALLEN DRIVE

WILLCOX 85643

(520)335-6118 11/15/2017 10/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

County COCONINO Total = 90


OSC AMBULATORY SURGI-CENTER AT FMC, THE

1200 NORTH BEAVER STREET, SUITE B

FLAGSTAFF 86001

(928)214-2700


to

Capacity :


(928)214-3892

Tele:


Not ApplicableAZ

H0169

OSC5616 BDPEC ASC FLAGSTAFF

350 NORTH SWITZER CANYON DRIVE

FLAGSTAFF 86001

(480)890-3397 01/01/2018 12/31/2018


to

Capacity :


(602)508-4830

Tele:


Not ApplicableAZ




OSC5424 BDPEC ASC SEDONA

95 SOLDIER PASS ROAD, SUITE A-2

SEDONA 86336

(480)890-3397 06/01/2018 05/31/2019


to

Capacity :


(602)508-4830

Tele:


Not ApplicableAZ

OSC3471 FOREST CANYON ENDOSCOPY AND SURGERY CENTER, PC


FLAGSTAFF 86001

(928)774-3044 04/01/2017 03/31/2018


to

Capacity :


(928)774-7107

Tele:


Not ApplicableAZ

NAES SURGERY CENTER

900 NORTH SAN FRANCISCO, SUITE 5

FLAGSTAFF 86001

(928)779-7000


to

Capacity :


(928)779-0130

Tele:


Not ApplicableAZ

OSC7083 NORTHERN ARIZONA HEALTHCARE ORTHOPEDIC SURGERY CENTER

1485 NORTH TURQUOISE DRIVE, SUITE 100

FLAGSTAFF 86001

(928)214-3211 04/01/2018 03/31/2019


to

Capacity :


(928)214-3235

Tele:


Not ApplicableAZ




OSC0083 NORTHERN ARIZONA SURGICENTER

1020 NORTH SAN FRANCISCO STREET, SUITE 100

FLAGSTAFF 86001

(928)774-3300 09/01/2017 08/31/2018


to

Capacity :


(928)214-2137

Tele:


Not ApplicableAZ


HHA7231 MAGNOLIA HOME HEALTH, LLC

6560 HIGHWAY 179, SUITE 208

SEDONA 86351

(602)373-7052 07/01/2017 06/30/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

HHA3443 NURSES NETWORK, INC.

408 NORTH KENDRICK STREET, SUITE 2AB

FLAGSTAFF 86001

(928)774-1924 03/01/2017 02/28/2018


to

Capacity :


(928)556-0625

Tele:


Not ApplicableAZ


CSLG7642 CATHOLIC CHARITIES COMMUNITY SERVICES, INC.

2101 NORTH FOURTH STREET

FLAGSTAFF 86004

(602)285-1999 03/01/2018 02/28/2019


to

Capacity :


(928)774-0697

Tele:


Not ApplicableAZ




CSLG8261 ENCOMPASS HEALTH SERVICES

608 ELM SUITE A & B (190)

PAGE 86040

(928)645-5113 04/01/2018 03/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

CSLG8932 KAIBAB BEHAVIORAL SERVICES

2323 EAST GREENLAW LANE, SUITE 12A

FLAGSTAFF 86004

(928)607-1280 05/08/2018 04/30/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

CSLG8895 NORTHERN ARIZONA SUBSTANCE ABUSE SERVICES, INC.

2617 E 7TH AVENUE

FLAGSTAFF 86004

(928)773-9376 04/13/2018 03/31/2019


to

Capacity :


(928)773-1774

Tele:


Not ApplicableAZ

CSLG6338 NORTHLAND FAMILY HELP CENTER

2100 NORTH WALGREENS STREET, SUITE C

FLAGSTAFF 86004

(928)774-4503 04/01/2018 03/31/2019


to

Capacity :


(928)774-5809

Tele:


Not ApplicableAZ




CSLG6585 SAGE COUNSELING, INC.

2603 EAST 7TH AVENUE

FLAGSTAFF 86004

(480)649-3352 08/01/2018 07/31/2019


to

Capacity :


(480)649-3358

Tele:


Not ApplicableAZ

CSLG8378 VICTIM WITNESS SERVICES OF COCONINO COUNTY

201 EAST BIRCH AVENUE, SUITE 5

FLAGSTAFF 86001

(928)679-7770 06/01/2018 05/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ


OTC0637 BIO-MEDICAL APPLICATIONS OF ARIZONA

5200 EAST CORTLAND BOULEVARD, SUITE A-1

FLAGSTAFF 86004

(928)527-4990 08/01/2018 07/31/2019


to

Capacity :


(928)527-4986

Tele:


16AZ

TOTAL RENAL CARE/DAVITA, INC.

500 EDGEWATER DRIVE

TUBA CITY 86045

(928)283-4525


to

Capacity :


(928)283-4801

Tele:


Not ApplicableAZ




OTC5263 U S RENAL CARE FLAGSTAFF DIALYSIS

2268 NORTH WALGREENS STREET

FLAGSTAFF 86004

(214)736-2700 12/01/2017 11/30/2018


to

Capacity :


(928)556-5501

Tele:


17AZ


OTC3854 CANYONLANDS URGENT CARE

440 NORTH NAVAJO DRIVE

PAGE 86040

(928)645-1700 06/01/2018 05/31/2019


to

Capacity :


(928)645-1701

Tele:


Not ApplicableAZ

OTC0127 LAKE POWELL MEDICAL CENTER

467 VISTA AVENUE

PAGE 86040

(928)645-8123 06/01/2018 05/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

NATIVE AMERICANS FOR COMMUNITY ACTION, INC

2717 NORTH STEVES BOULEVARD, SUITE 11

FLAGSTAFF 86004

(928)526-2968


to

Capacity :


(928)526-0708

Tele:


Not ApplicableAZ




OTC7414 NORTH COUNTRY HEALTHCARE - FLAGSTAFF WEST

1120 WEST UNIVERSITY AVENUE, SUITE 101

FLAGSTAFF 86001

(928)522-9804 11/01/2017 10/31/2018


to

Capacity :


(928)552-9558

Tele:


Not ApplicableAZ

OTC4976 NORTH COUNTRY HEALTHCARE, INC - WILLIAMS

301 SOUTH 7TH STREET

WILLIAMS 86046

(928)522-9400 01/01/2018 12/31/2018


to

Capacity :


(928)522-9805

Tele:


Not ApplicableAZ

OTC8307 NORTH COUNTRY HEALTHCARE, INC.

1501 SOUTH YALE STREET, SUITE 252

FLAGSTAFF 86001

(928)522-9557 05/01/2018 04/30/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC4667 NORTH COUNTRY HEALTHCARE, INC.

2187 NORTH VICKEY STREET, SUITE 2

FLAGSTAFF 86004

(928)522-9879 07/01/2018 06/30/2019


to

Capacity :


(928)522-9411

Tele:


Not ApplicableAZ




OTC3823 NORTH COUNTRY HEALTHCARE, INC. - GRAND CANYON

1 CLINIC ROAD

GRAND CANYON 86023

(928)522-9879 06/01/2018 05/31/2019


to

Capacity :


(928)638-2598

Tele:


Not ApplicableAZ

OTC4306 NORTH COUNTRY HEALTHCARE-FLAGSTAFF

2920 NORTH FOURTH STREET

FLAGSTAFF 86004

(928)522-9400 11/01/2017 10/31/2018


to

Capacity :


(928)522-9805

Tele:


Not ApplicableAZ

NW AZ RHC LAKE POWELL MEDICAL CENTER

PO BOX 490, 1-15 EXIT 9

GREENEHAVEN 86040

(520)347-5971


to

Capacity :


( ) -

Tele:


Not ApplicableAZ


HHA3429 HORIZON HOME HEALTH, LLC

32 NORTH 10TH AVENUE, SUITE 204

PAGE 86040

(928)645-9110 06/01/2018 05/31/2019


to

Capacity :


(928)645-9410

Tele:


Not ApplicableAZ




HHA7679 NORTHERN ARIZONA HOME HEALTH


FLAGSTAFF 86001

(928)773-2238 04/01/2018 03/31/2019


to

Capacity :


(928)773-2078

Tele:


Not ApplicableAZ

HHA5463 ZION'S WAY HOME HEALTH

47 6TH AVENUE

PAGE 86040

(928)645-0366 04/01/2018 03/31/2019


to

Capacity :


(435)688-0715

Tele:


Not ApplicableAZ


HSPC7726 ACCORD HOSPICE OF SEDONA VALLEY, LLC

1350 WEST HIGHWAY 89A, SUITE 24

SEDONA 86336

(928)278-4134 06/01/2018 05/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

HSPC3729 HOSPICE COMPASSUS - SEDONA/ FLAGSTAFF/ PRESCOTT

70 BELL ROCK PLAZA, SUITE A

SEDONA 86351

(928)284-0180 04/01/2018 03/31/2019


to

Capacity :


(928)284-9352

Tele:


Not ApplicableAZ




HSPC0007 NORTHLAND HOSPICE AND PALLIATIVE CARE, INC.


FLAGSTAFF 86001

(928)779-1227 09/01/2017 08/31/2018


to

Capacity :


(928)779-5884

Tele:


Not ApplicableAZ

HSPC5462 ZION'S WAY HOSPICE

47 6TH AVENUE

PAGE 86040

(928)645-0366 04/01/2018 03/31/2019


to

Capacity :


(928)645-0372

Tele:


Not ApplicableAZ


H0086 PAGE HOSPITAL


PAGE 86040

(928)645-2424 05/01/2015 04/30/2018


to

Capacity :


(928)645-3549

Tele:


25AZ

Sub-Type : HOSPITAL - PSYCHIATRIC

SH1852 GUIDANCE CENTER, THE

2187 NORTH VICKEY STREET

FLAGSTAFF 86004

(928)527-1899 12/01/2017 11/30/2020


to

Capacity :


(928)714-6480

Tele:


16AZ

Sub-Type : HOSPITAL - REHABILITATION



Sub-Type : HOSPITAL - REHABILITATION

SH8743 REHABILITATION HOSPITAL OF NORTHERN ARIZONA, LLC

1851 NORTH GEMINI DRIVE

FLAGSTAFF 86001

(928)774-7070 02/23/2018 01/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ


H0169 FLAGSTAFF MEDICAL CENTER

1200 NORTH BEAVER STREET

FLAGSTAFF 86001

(928)779-3366 12/01/2017 11/30/2020


to

Capacity :


(928)773-2348

Tele:


264AZ

TUBA CITY REGIONAL HEALTH CARE CORPORATION

PO BOX 600

TUBA CITY 86045

(928)283-2501


to

Capacity :


(928)283-2828

Tele:


Not ApplicableAZ


OTC 3T MRI

1485 NORTH TURQUOISE DRIVE

FLAGSTAFF 86001

(928)213-4900


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

H0169




OTC CENTER FOR CARE MANAGEMENT

77 WEST FOREST AVENUE, SUITE 202

FLAGSTAFF 86001

(928)773-2249


to

Capacity :


(928)773-2348

Tele:


Not ApplicableAZ

H0169

OTC ENTIRECARE REHAB AND SPORTS MEDICINE - EAST FLAGSTAFF

7810 NORTH HIGHWAY 89, SUITE 280

FLAGSTAFF 86004

(928)552-8375


to

Capacity :


(928)779-2419

Tele:


Not ApplicableAZ

H0169

OTC ENTIRECARE REHAB AND SPORTS MEDICINE - SEDONA

35 DRY CREEK ROAD

SEDONA 86336

(928)282-6775


to

Capacity :


(520)773-2419

Tele:


Not ApplicableAZ

H0122

OTC ENTIRECARE REHAB AND SPORTS MEDICINE VILLAGE OF OAK CREEK

6560 HIGHWAY 179, SUITES 118 & 120

SEDONA 86351

(928)282-8428


to

Capacity :


(928)779-2419

Tele:


Not ApplicableAZ

H0122




OTC FIT KIDS OF ARIZONA - FLAGSTAFF

1000 NORTH HUMPHREYS STREET, SUITES 210 & 212

FLAGSTAFF 86001

(928)214-3537


to

Capacity :


(928)773-2430

Tele:


Not ApplicableAZ

H0169

UNC NORTHERN ARIZONA HEALTHCARE LABORATORY


FLAGSTAFF 86001

(928)773-2378


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

H0169

OTC PAGE HOSPITAL- PHMAC REHAB SERVICES

601 NORTH NAVAJO

PAGE 86040

(928)645-0115


to

Capacity :


(928)645-3549

Tele:


Not ApplicableAZ

H0086

OTC VERDE VALLEY MEDICAL CENTER - SEDONA CAMPUS

3700 WEST HIGHWAY 89A

SEDONA 86336

(928)204-3000


to

Capacity :


(928)773-2348

Tele:


Not ApplicableAZ

H0122

Sub-Type : OTC-ABORTION CLINICS



Sub-Type : OTC-ABORTION CLINICS

OTCAC5880

PLANNED PARENTHOOD ARIZONA FLAGSTAFF

2500 SOUTH WOODLANDS VILLAGE BOULEVARD, SUITE 12

FLAGSTAFF 86001

(928)774-2951 10/01/2017 09/30/2018


to

Capacity :


(928)774-5366

Tele:


Not ApplicableAZ


OTC6051 ARIZONA'S CHILDREN ASSOCIATION

906 WEST UNIVERSITY AVENUE, SUITE 140 & 150

FLAGSTAFF 86001

(602)234-3733 07/01/2018 06/30/2019


to

Capacity :


(602)234-1252

Tele:


Not ApplicableAZ

OTC8103 BDPEC FLAGSTAFF


FLAGSTAFF 86001

(480)890-3397 02/01/2018 01/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC7929 BEHAVIORAL CONSULTATION SERVICES, INC.

345 SOUTH RIVER RUN ROAD, SUITE 200

FLAGSTAFF 86001

(520)721-1887 11/01/2017 10/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ




OTC7005 CHILD & FAMILY SUPPORT SERVICES, INC

1515 EAST CEDAR AVENUE, SUITE D-2

FLAGSTAFF 86004

(480)635-9944 06/01/2018 05/31/2019


to

Capacity :


(928)774-0856

Tele:


Not ApplicableAZ

OTC0361 COCONINO COUNTY PUBLIC HEALTH SERVICES DISTRICT

2625 NORTH KING STREET

FLAGSTAFF 86004

(928)679-7222 08/01/2018 07/31/2019


to

Capacity :


(928)679-7351

Tele:


Not ApplicableAZ

OTC7801 CONCENTRA MEDICAL CENTERS

1110 EAST ROUTE 66

FLAGSTAFF 86001

(717)972-1100 04/01/2018 03/31/2019


to

Capacity :


(214)755-4594

Tele:


Not ApplicableAZ

OTC7438 DIGNITY HEALTH CENTER FOR LIVER DISEASE AND TRANSPLANTATION


FLAGSTAFF 86001

(602)406-3211 12/01/2017 11/30/2018


to

Capacity :


(928)773-2548

Tele:


Not ApplicableAZ




OTC6387 ENCOMPASS HEALTH SERVICES, INC

170 NORTH MAIN STREET

FREDONIA 86022

(928)643-7230 05/01/2018 04/30/2019


to

Capacity :


(928)643-7988

Tele:


Not ApplicableAZ

OTC5097 ENCOMPASS HEALTH SERVICES, INC.

463 SOUTH LAKE POWELL BOULEVARD

PAGE 86040

(928)643-7230 05/01/2018 04/30/2019


to

Capacity :


(928)645-3254

Tele:


Not ApplicableAZ

OTC5841 FLAGSTAFF BIRTH AND WOMEN'S HEALTH, INC.

401 WEST ASPEN AVENUE

FLAGSTAFF 86001

(928)556-0000 10/01/2017 09/30/2018


to

Capacity :


(928)556-0005

Tele:


Not ApplicableAZ

OTC8849 FLAGSTAFF URGENT CARE

2700 SOUTH WOODLANDS VILLAGE BOULEVARD, SUITE 700

EAST FLAGSTAFF 86001

(214)674-9164 04/13/2018 03/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ




OTC8516 FMC SPECIALTY CLINIC

1215 NORTH BEAVER STREET, SUITE 203

FLAGSTAFF 86001

(928)773-2357 09/22/2017 08/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC6139 GUIDANCE CENTER, INC, THE

220 WEST GRANT AVENUE

WILLIAMS 86046

(928)527-1899 02/01/2018 01/31/2019


to

Capacity :


(928)714-6480

Tele:


Not ApplicableAZ

OTC6088 GUIDANCE CENTER, INC., THE

2187 NORTH VICKEY STREET

FLAGSTAFF 86004

(928)527-1899 12/01/2017 11/30/2018


to

Capacity :


(928)714-6480

Tele:


7AZ

OTC6726 GUIDANCE CENTER, INC., THE

2695 EAST INDUSTRIAL DRIVE

FLAGSTAFF 86004

(928)527-1899 10/01/2017 09/30/2018


to

Capacity :


(928)714-6480

Tele:


Not ApplicableAZ




OTC6392 KACHINA POINT REHABILITATION

505 JACKS CANYON ROAD

SEDONA 86351

(928)284-1000 05/01/2018 04/30/2019


to

Capacity :


(928)284-0626

Tele:


Not ApplicableAZ

OTC7784 LAKE POWELL PHYSICAL THERAPY

43RD SIXTH AVENUE

PAGE 86040

(928)645-5780 08/01/2017 07/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

MOUNTAIN HEART SLEEP CENTER

2000 SOUTH THOMPSON STREET

FLAGSTAFF 86001

(928)226-6400


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC0677 NACA FAMILY HEALTH CENTER

1500 EAST CEDAR AVENUE, SUITE 26

FLAGSTAFF 86004

(928)526-2968 05/01/2018 04/30/2019


to

Capacity :


(928)773-9429

Tele:


Not ApplicableAZ




OTC5149 NAU CAMPUS HEALTH SERVICES

824 SOUTH SAN FRANCISCO STREET, BUILDING 25

FLAGSTAFF 86011

(928)523-6343 07/01/2017 06/30/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC7192 NEXTCARE URGENT CARE - HUMPHREYS

1000 NORTH HUMPHREYS STREET, SUITE 104

FLAGSTAFF 86001

(928)779-3844 05/01/2018 04/30/2019


to

Capacity :


(928)779-3848

Tele:


Not ApplicableAZ

OTC7732 NEXTCARE URGENT CARE - MALPAIS

399 SOUTH MALPAIS LANE, SUITE 100

FLAGSTAFF 86001

(928)286-8830 06/01/2018 05/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC5638 NEXTCARE URGENT CARE - SEDONA

2530 WEST STATE ROUTE 89A, SUITE A

SEDONA 86336

(928)203-4813 01/01/2018 12/31/2018


to

Capacity :


(928)203-0201

Tele:


Not ApplicableAZ




OTC5712 NORTHERN ARIZONA HEALTHCARE MEDICAL GROUP-FLAGSTAFF

107 EAST OAK STREET, SUITES 101 & 201

FLAGSTAFF 86001

(928)777-2357 05/01/2018 04/30/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC8809 PAGE HOSPITAL - BANNER HEALTH CLINIC - PAGE


PAGE 86040

(928)645-0766 04/01/2018 03/31/2019


to

Capacity :


(928)645-0767

Tele:


Not ApplicableAZ

OTC8754 RED MOUNTAIN SEDONA

75 BELL ROCK PLAZA A & B

SEDONA 86351

(928)284-2690 03/02/2018 02/28/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ


90 BELL ROCK PLAZA, SUITES 100A & 200A

SEDONA 86351

(928)284-2690 08/01/2017 07/31/2018


to

Capacity :


(928)284-2695

Tele:


Not ApplicableAZ





20 BELL ROCK PLAZA SUITE A -M

SEDONA 86351

(928)284-2690 08/04/2017 07/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC4809 SACRED PEAKS HEALTH CENTER

3480 EAST ROUTE 66

FLAGSTAFF 86004

(928)863-7333 03/01/2018 02/28/2019


to

Capacity :


(928)525-0047

Tele:


Not ApplicableAZ

OTC8847 SEDONA WELLNESS RESORT

125 KALLOF PLACE

SEDONA 86336

(928)613-2233 04/23/2018 03/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC6666 SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.-FLAGSTAFF OUTPATIENT/ORS

1515 EAST CEDAR AVE, SUITES B-2 B-3, B-4, E-1, E-2

FLAGSTAFF 86004

(602)285-4318 08/01/2018 07/31/2019


to

Capacity :


(928)779-4493

Tele:


Not ApplicableAZ




OTC8160 SOUTHWESTERN EYE CENTER - SEDONA CLINIC

2370 WEST STATE ROUTE 89A, SUITE 17

SEDONA 86336

(928)828-1231 03/01/2018 02/28/2019


to

Capacity :


(928)282-1528

Tele:


Not ApplicableAZ

OTC5974 SPECTRUM HEALTHCARE GROUP, INC

2880 HOPI DRIVE

SEDONA 86336

(928)634-2236 08/01/2018 07/31/2019


to

Capacity :


(928)634-1221

Tele:


Not ApplicableAZ

OTC7422 VERA WHOLE HEALTH, INC

1500 EAST CEDAR, SUITE 80

FLAGSTAFF 86004

(206)575-8883 11/01/2017 10/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC5180 VERDE VALLEY MEDICAL CLINIC - SEDONA

3700 WEST HIGHWAY 89A, SUITE B

SEDONA 86336

(928)773-2357 10/01/2017 09/30/2018


to

Capacity :


(928)773-2348

Tele:


Not ApplicableAZ




OTC5055 VERDE VALLEY MEDICAL CLINIC - VILLAGE OF OAK CREEK

61 BELL ROCK PLAZA, SUITE A

SEDONA 86351

(928)773-2357 03/01/2017 02/28/2019


to

Capacity :


(928)773-2348

Tele:


Not ApplicableAZ

Sub-Type : STATE ONLY

HSPC8576 NORTHERN ARIZONA HOSPICE


FLAGSTAFF 86001

(928)779-9795 11/09/2017 10/31/2018


to

Capacity :


(928)774-9497

Tele:


Not ApplicableAZ

Sub-Type : SUBSTANCE ABUSE TRANSITIONAL

SABH6449 ENCOMPASS HEALTH SERVICES, INC.

32 NORTH 10TH AVENUE, SUITE 5

PAGE 86040

(928)645-4934 07/01/2018 06/30/2019


to

Capacity :


(928)645-3254

Tele:


12AZ

Sub-Type : UNCLASSIFIED

UNC7843 WOMANCARE BIRTH & BREASTFEEDING CENTER

20 EAST CHERRY AVENUE

FLAGSTAFF 86001

(928)779-6064 07/01/2017 06/30/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ


County GILA Total = 54


CSLG6339 SAGE COUNSELING, INC

1100 NORTH BEELINE HIGHWAY, SUITE F

PAYSON 85541

(480)649-3352 05/01/2018 04/30/2019


to

Capacity :


(480)649-3358

Tele:


Not ApplicableAZ

CSLG7188 SEABHS GLOBE COUNSELING OFFICE

996 NORTH BROAD STREET, SUITE 7

GLOBE 85501

(520)221-0468 06/01/2018 05/31/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

CSLG7153 SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC. - EMPOWERMENT CENTER

302 WEST AERO ROAD

PAYSON 85541

(602)257-9339 05/01/2018 04/30/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ


OTC4203 RENAL CARE GROUP - GLOBE

2250 US HIGHWAY 60, SUITE O-2

MIAMI 85539

(928)425-2624 11/01/2017 10/31/2018


to

Capacity :


(928)425-8318

Tele:


16AZ




RENAL CARE GROUP-SAN CARLOS

HIGHWAY 70 & 170 SRT

PERIDOT 85542

(928)475-5987


to

Capacity :


(480)632-3283

Tele:


Not ApplicableAZ

OTC4357 RIM COUNTRY DIALYSIS

809 WEST LONGHORN ROAD

PAYSON 85541

(928)474-7000 03/01/2018 02/28/2019


to

Capacity :


(928)474-9983

Tele:


6AZ


OTC7343 CANYONLANDS HEALTHCARE - GLOBE INTEGRATED

111 WEST BLAKE STREET, SUITE 12

GLOBE 85501

(928)425-8158 09/01/2017 08/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC5504 CANYONLANDS HEALTHCARE GLOBE

5860 SOUTH HOSPITAL DRIVE, SUITE 102

GLOBE 85501

(928)402-0491 09/01/2017 08/31/2018


to

Capacity :


(928)402-0490

Tele:


Not ApplicableAZ




OTC8395 NORTH COUNTRY HEALTHCARE, INC. - PAYSON

126 EAST MAIN STREET, SUITE B

PAYSON 85541

(928)522-9879 07/01/2018 06/30/2019


to

Capacity :


(928)522-9805

Tele:


Not ApplicableAZ


HHA5649 ARIZONA SENIOR HOME CARE, LLC

2123 SUNSET POINT, SUITE A

MIAMI 85539

(928)425-4663 02/01/2017 01/31/2018


to

Capacity :


(928)425-4662

Tele:


Not ApplicableAZ

HHA7245 BANNER HOME CARE - PAYSON

708 EAST ROUTE 260, SUITE A1

PAYSON 85541

(928)472-5245 08/01/2018 07/31/2019


to

Capacity :


(928)472-5250

Tele:


Not ApplicableAZ

HHA8539 BILLET HOME HEALTH INC. - GLOBE

385 NORTH BROAD STREET, SUTIE 100B

GLOBE 85501

(844)824-3577 04/17/2018 08/31/2018


to

Capacity :


(623)374-6269

Tele:


Not ApplicableAZ




HHA8387 COPPER STATE HOME HEALTH, LLC

593 SILVERHILL

GLOBE 85501

(928)200-9708 07/01/2018 06/30/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ


HSPC7687 ARIZONA CARE HOSPICE

1100 NORTH BEELINE HIGHWAY, SUITE A

PAYSON 85541

(928)535-5353 01/01/2018 12/31/2018


to

Capacity :


(888)432-7480

Tele:


Not ApplicableAZ

HSPC6544 AVIANT HOSPICE GILA

136 SOUTH BROAD STREET

GLOBE 85501

(928)425-5400 11/01/2017 10/31/2018


to

Capacity :


(928)425-5411

Tele:


Not ApplicableAZ

HSPC3613 HOSPICE COMPASSUS-PAYSON

511 SOUTH MUDSPRING ROAD, SUITE #2

PAYSON 85541

(928)472-6340 05/01/2018 04/30/2019


to

Capacity :


(928)468-2120

Tele:


7AZ




HSPC0017 HOSPICE COMPASSUS-PAYSON

511 SOUTH MUDSPRING ROAD, SUITE #1

PAYSON 85541

(928)472-6340 05/01/2018 04/30/2019


to

Capacity :


(928)468-2120

Tele:


Not ApplicableAZ

HSPC6536 HOSPICE OF PAYSON, LLC

900 NORTH BEELINE HIGHWAY, SUITE B

PAYSON 85541

(928)474-2415 05/01/2018 04/30/2019


to

Capacity :


(928)474-2140

Tele:


Not ApplicableAZ


RGH0126 COBRE VALLEY REGIONAL MEDICAL CENTER

5880 SOUTH HOSPITAL DRIVE

GLOBE 85501

(928)402-1122 03/01/2018 02/28/2019


to

Capacity :


(928)425-7903

Tele:


25AZ


H7250 BANNER PAYSON MEDICAL CENTER

807 SOUTH PONDEROSA DRIVE

PAYSON 85541

(928)474-3222 11/17/2017 07/31/2019


to

Capacity :


(928)472-1295

Tele:


44AZ




SAN CARLOS APACHE HEALTHCARE CORP.

103 MEDICINE WAY ROAD

PERIDOT 85542

(928)475-1200


to

Capacity :


( ) -

Tele:


Not ApplicableAZ


OTC BANNER PAYSON MEDICAL CENTER IMAGING CENTER

127 EAST MAIN STREET, SUITE C

PAYSON 85541

(928)472-3450


to

Capacity :


(928)472-1295

Tele:


Not ApplicableAZ

H7250

OTC COBRE VALLEY SURGICAL SERVICES


GLOBE 85501

(928)425-3261


to

Capacity :


(928)425-3859

Tele:


Not ApplicableAZ

H0126


OTC5621 ADVANCED HEART & VASCULAR INSTITUTE AT GLOBE

5860 SOUTH HOSPITAL DRIVE, SUITE 103

GLOBE 85501

(602)797-7107 01/01/2018 12/31/2018


to

Capacity :


(602)688-8311

Tele:


Not ApplicableAZ




OTC7247 BANNER HEALTH CLINIC

126 EAST MAIN STREET, SUITE D

PAYSON 85541

(928)596-4800 08/01/2018 07/31/2019


to

Capacity :


(928)474-3444

Tele:


Not ApplicableAZ


117 EAST MAIN STREET, SUITE A100

PAYSON 85541

(928)474-1714 04/01/2018 03/31/2019


to

Capacity :


(928)472-8070

Tele:


Not ApplicableAZ


6152 HARDSCRABBLE ROAD

PINE 85544

(928)476-9901 11/01/2017 10/31/2018


to

Capacity :


(928)472-3480

Tele:


Not ApplicableAZ


803 SOUTH PONDEROSA STREET, SUITE C

PAYSON 85541

(928)468-5418 08/01/2018 07/31/2019


to

Capacity :


(928)472-1213

Tele:


Not ApplicableAZ





120 EAST MAIN STREET, SUITE A

PAYSON 85541

(928)474-9744 08/01/2018 07/31/2019


to

Capacity :


(928)474-9766

Tele:


Not ApplicableAZ


122 EAST MAIN STREET

PAYSON 85541

(928)596-4600 08/01/2018 07/31/2019


to

Capacity :


(928)468-2062

Tele:


Not ApplicableAZ

OTC8901 BANNER PHYSICAL THERAPY AND REHABILITATION

126 EAST MAIN STREET, SUITE C

PAYSON 85541

(928)472-5230 05/01/2018 04/30/2019


to

Capacity :


(928)472-3446

Tele:


Not ApplicableAZ

OTC8078 BDPEC GLOBE

520 SOUTH HILL STREET

GLOBE 85501

(480)890-3397 01/01/2018 12/31/2018


to

Capacity :


( ) -

Tele:


Not ApplicableAZ





600 EAST HIGHWAY 260, SUITES 7, 8, 9

PAYSON 85541

(520)639-9006 05/01/2018 04/30/2019


to

Capacity :


( ) -

Tele:


Not ApplicableAZ

OTC0738 COBRE VALLEY REGIONAL MEDICAL CENTER/ PHYSICAL THERAPY


GLOBE 85501

(928)402-1280 01/01/2018 12/31/2018


to

Capacity :


Documents

Medical Facilities Tuesday, May 01, 2018 - azdhs.gov CHIRICAHUA COMMUNITY HEALTH CENTER - CLIFF WHETTEN CLINIC 10566 HIGHWAY 191 ELFRIDA 85610 (520)364-1429 12/01/2017 11/30/2018 License/Approval