Organization Active NPI

Beacon Treatment Center Show Low

  • Rehabilitation Clinic/Center
  • Show Low, AZ
National Provider Identifier
1497616288
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
BEACON TREATMENT CENTER SHOW LOW
Practice address
1201 E Cooley St Ste Abc
Show Low, AZ 85901-5122
Phone
(928) 251-2785
Fax
(928) 251-2312
NPI assigned
Nov 20, 2025
Organization subpart
Yes
Parent organization
BEACON CHARITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
James Applegate
Title
Executive Director
Phone
(928) 551-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1201 E Cooley St Ste Abc
Show Low, AZ 85901-5122

Mailing address

1201 E Cooley St Ste Abc
Show Low, AZ 85901-5122

National Provider Directory

National Provider Directory
Part of
Beacon Charities

Locations

1201 E Cooley St
Ste Abc
Show Low, AZ 85901
Phone (928) 251-2785

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1497616288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E COOLEY ST STE ABC",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E COOLEY ST STE ABC",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015122",
            "telephone_number": "928-251-2785",
            "fax_number": "928-251-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON TREATMENT CENTER SHOW LOW",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACON CHARITIES",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "APPLEGATE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-551-0505"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.