NPIMap

Organization Active NPI

County of Yavapai

Doing business as Community Health Center of Yavapai

  • Public Health or Welfare Agency
  • Prescott, AZ
National Provider Identifier
1659317022
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
OTC3512 Issued in AZ
Legal business name
COUNTY OF YAVAPAI
Doing business as
Community Health Center of Yavapai
Practice address
1090 Commerce Dr
Prescott, AZ 86305-3700
Phone
(928) 583-1000
Fax
(866) 323-8458
NPI assigned
Jun 22, 2006
Last updated
Jun 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Leslie Robin Horton
Title
Executive Director
Phone
(928) 442-5303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X OTC3512 AZ Primary

Addresses

Primary practice location

1090 Commerce Dr
Prescott, AZ 86305-3700

Mailing address

1090 Commerce Dr
Prescott, AZ 86305-3700
Phone (928) 583-1000

Other names 1

  • Community Health Center of Yavapai Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000266 AZ Part B Supplier - Clinic/Group Practice 8921919499 Receives reassigned benefits from 29 practitioners
5 other NPIs on this enrollment
Practice locations: Cottonwood, AZ; Ash Fork, AZ; Prescott Valley, AZ; Prescott, AZ

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • County of Yavapai

    dba Community Health Center of Yavapai

    • Public Health or Welfare Agency
    • Prescott, AZ
    • NPI 1235256637

    8921919499

    Same PAC ID
  • County of Yavapai

    dba Community Health Center of Yavapai

    • Public Health or Welfare Agency
    • Prescott Valley, AZ
    • NPI 1336265982

    8921919499

    Same PAC ID
  • County of Yavapai

    dba Community Health Center of Yavapai

    • Public Health or Welfare Agency
    • Cottonwood, AZ
    • NPI 1740306307

    8921919499

    Same PAC ID
  • County of Yavapai

    dba Yavapai County Community Health Services

    • Public Health or Welfare Agency
    • Prescott, AZ
    • NPI 1952501389

    8921919499

    Same PAC ID

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3212 N Windsong Dr
Prescott Valley, AZ 86314
Phone (928) 583-1000

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Yavapai County Community Health ServicesCottonwood, AZ, CCN 031847 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2001
Yavapai County Community Health ServicesPrescott, AZ, CCN 031839 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2001
Yavapai County Community Health ServicesPrescott, AZ, CCN 031838 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2001

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • County of Yavapai

    dba Community Health Center of Yavapai

    • Public Health or Welfare Agency
    • Prescott, AZ
    • NPI 1235256637

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Yavapai

    dba Community Health Center of Yavapai

    • Public Health or Welfare Agency
    • Prescott Valley, AZ
    • NPI 1336265982

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Yavapai

    dba Community Health Center of Yavapai

    • Public Health or Welfare Agency
    • Cottonwood, AZ
    • NPI 1740306307

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1659317022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 COMMERCE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053700",
            "telephone_number": "928-583-1000",
            "fax_number": "866-323-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 COMMERCE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053700",
            "telephone_number": "928-583-1000",
            "fax_number": "866-323-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF YAVAPAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-442-5303"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "AZ",
            "license": "OTC3512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Center of Yavapai",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.