NPIMap

Organization Active NPI

The Excel Group

Doing business as Arizona Avenue Clinic

  • Community/Behavioral Health Agency
  • Yuma, AZ
National Provider Identifier
1609959311
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH-2629 Issued in AZ
Legal business name
THE EXCEL GROUP
Doing business as
Arizona Avenue Clinic
Practice address
2501 S Arizona Ave
Yuma, AZ 85364-7332
Phone
(928) 341-4300
Fax
(928) 344-4456
NPI assigned
Oct 24, 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-2629 AZ Primary

Addresses

Primary practice location

2501 S Arizona Ave
Yuma, AZ 85364-7332

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
989535MedicaidAZ

Other names 1

  • Arizona Avenue Clinic Doing business as

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1609959311",
    "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": "2501 S ARIZONA AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647332",
            "telephone_number": "928-341-4300",
            "fax_number": "928-344-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXCEL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "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-2629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "989535",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Avenue Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, 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.