NPIMap

Organization Active NPI

County of Yavapai

Doing business as Community Health Center of Yavapai

  • Federally Qualified Health Center (FQHC)
  • Ash Fork, AZ
National Provider Identifier
1811879455
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COUNTY OF YAVAPAI
Doing business as
Community Health Center of Yavapai
Practice address
112 West Park Avenue
Ash Fork, AZ 86320
Phone
(928) 583-1000
NPI assigned
Jul 24, 2025
Last updated
Oct 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

112 West Park Avenue
Ash Fork, AZ 86320

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
This NPI is an additional NPI on the enrollment
Practice locations: Cottonwood, AZ; Ash Fork, AZ; Prescott Valley, AZ; Prescott, AZ

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
Tax ID family
County of Yavapai6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1951 N Voss Dr
Chino Valley, AZ 86323
Phone (928) 636-8299

51 Brian Mickelsen Pkwy
Cottonwood, AZ 86326
Phone (928) 639-8132

1001 Willow Creek Rd
Prescott, AZ 86301
Phone (602) 771-3126

595 White Spar Rd
Prescott, AZ 86303
Phone 9287713560238

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1811879455",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WEST PARK AVENUE",
            "city": "ASH FORK",
            "state": "AZ",
            "postal_code": "86320",
            "telephone_number": "928-583-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF YAVAPAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "928-442-5303"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Center of Yavapai",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ash Fork, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.