NPIMap

Organization Active NPI

The Excel Group

  • Community/Behavioral Health Agency
  • San Luis, AZ
National Provider Identifier
1043390990
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH-1673 Issued in AZ
Legal business name
THE EXCEL GROUP
Practice address
679 N First Ave
San Luis, AZ 85349-2837
Phone
(928) 627-0242
Fax
(928) 627-8248
NPI assigned
Oct 16, 2006
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Carol A. Carr
Title
Ceo
Phone
(928) 341-0335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH-1673 AZ Primary

Addresses

Primary practice location

679 N First Ave
San Luis, AZ 85349-2837

Mailing address

3250A E 40TH St
Yuma, AZ 85365-7748
Phone (928) 341-0335

Other identifiers 1

IdentifierTypeStateIssuer
470344MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
The Excel Group14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1043390990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250A E 40TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853657748",
            "telephone_number": "928-341-0335",
            "fax_number": "928-539-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 N FIRST AVE",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853492837",
            "telephone_number": "928-627-0242",
            "fax_number": "928-627-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXCEL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-341-0335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH-1673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470344",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.