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Medicaid Certified FacilitiesCountyCOCHISESub-Type :Wednesday, June 1, 2022Total 40OUTPATIENT TREATMENT CENTERLicense #NameContact InformationOTC8054COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INCTele: (520)721-18872039 EAST WILCOX DRIVE, SUITES A & BFax:SIERRA VISTAAZ(520)721-1887NameContact InformationOTC9372COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INCTele: (520)721-1887500 SOUTH HIGHWAY 80, SUITE AFax:AZ(520)372-7126NameContact InformationOTC8376DOUGLAS OUTPATIENT TREATMENT CENTERTele: (520)838-3910936 F AVENUE, SUITE BFax:AZ(520)792-0654License #NameContact InformationOTC6065PINAL HISPANIC COUNCILTele: (520)721-18871940 11TH STREETFax:DOUGLASAZ(520)364-6439License #NameContact InformationOTC6892SEABHS SIERRA VISTA OUTPATIENT TREATMENT CENTERTele: (520)221-04684755 CAMPUS DRIVEFax:SIERRA ity Rating Evaluation Date12/31/2022Capacity :CertifiedLicense/Approval Dates06/01/2022toQuality Rating Evaluation Date05/31/2023Capacity :CertifiedLicense/Approval Dates02/01/2022toQuality Rating Evaluation Date01/31/2023Capacity :Medcaid Cert:8560712/31/2022License/Approval DatesMedcaid Cert:85607toQuality Rating Evaluation DateCapacity :Medcaid Cert:85602License #DOUGLAS01/01/2022Medcaid Cert:85635License #BENSONLicense/Approval DatesCertifiedLicense/Approval Dates05/01/2022to04/30/2023Capacity :Medcaid Cert:CertifiedQuality Rating Evaluation Date

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Medicaid Certified FacilitiesCountyCOCHISESub-Type :Wednesday, June 1, 2022Total 40OUTPATIENT TREATMENT CENTERLicense #NameContact InformationOTC6143WILLCOX OUTPATIENT TREATMENT CENTERTele: (520)221-0468404 REX ALLEN DRIVEFax:WILLCOXSub-Type :AZ(520)586-611102/01/2022toQuality Rating Evaluation Date01/31/2023Capacity :Medcaid Cert:85643CertifiedRURAL HEALTH CLINICS - MEDICARELicense #NameContact InformationOTCCOPPER QUEEN COMMUNITY HOSPITAL-DOUGLAS RHCTele: (520)364-7659100 EAST 5TH STREETFax:DOUGLASAZ(520)432-1724NameContact InformationOTCCOPPER QUEEN COMMUNITY HOSPITAL-PALOMINAS RHCTele: (520)366-030010524 EAST HIGHWAY 92Fax:PALOMINASAZLicense/Approval Dates(520)432-1724Capacity :CertifiedLicense/Approval DatesQuality Rating Evaluation DatetoCapacity :Medcaid Cert:85615Quality Rating Evaluation DatetoMedcaid Cert:85607License #Sub-Type :License/Approval DatesCertifiedSKILLED NURSING FACILITY/NURSING FACILITY DUAL CERTIFIEDLicense #NameContact InformationNCI-399GOOD SAMARITAN SOCIETY - QUIBURI MISSIONTele: (520)586-2372850 SOUTH HIGHWAY 80Fax:BENSONAZ(520)586-700385602License #NameContact InformationNCI-2708HAVEN OF DOUGLAS, LLCTele: (520)364-79371400 NORTH SAN ANTONIO val Dates07/01/2021to06/29/2022Capacity :58Medcaid Cert:CertifiedLicense/Approval Dates02/01/2022to01/31/2023Capacity :58Medcaid Cert:CertifiedQuality Rating Evaluation DateA06/24/2021Quality Rating Evaluation DateA11/04/2021

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Medicaid Certified FacilitiesCountyCOCHISESub-Type :Wednesday, June 1, 2022Total 40SKILLED NURSING FACILITY/NURSING FACILITY DUAL CERTIFIEDLicense #NameContact InformationNCI-338HAVEN OF SIERRA VISTA, LLCTele: (520)459-4900660 SOUTH CORONADO DRIVEFax:SIERRA VISTAAZ(520)458-408285635License #NameContact InformationNCI-392LIFE CARE CENTER OF SIERRA VISTATele: (520)458-10502305 EAST WILCOX DRIVEFax:SIERRA VISTACountyCOCONINOSub-Type :AZ(520)458-694485635License/Approval Dates11/01/2021to10/31/2022Capacity :1EMedcaid Cert:CertifiedLicense/Approval Dates07/01/2022to06/30/2023Capacity :2EMedcaid Cert:CertifiedQuality Rating Evaluation DateA05/07/2021Quality Rating Evaluation DateA04/22/2021Total 32AMBULATORY SURGICAL CENTER - MEDICARELicense #NameContact InformationOSC5616BDPEC ASC FLAGSTAFFTele: (480)890-3397350 NORTH SWITZER CANYON DRIVEFax:FLAGSTAFFAZ(602)508-4830NameContact InformationOSC5424BDPEC ASC SEDONATele: (480)890-339795 SOLDIER PASS ROAD, SUITE A-2Fax:AZ(602)508-4830NameContact InformationOSC10112FLAGSTAFF BONE & JOINT SURGICAL CENTER LLCTele: (928)637-8337501 NORTH SWITZER CANYON DRIVEFax:AZ86001( ) -toQuality Rating Evaluation Date12/31/2022Capacity :CertifiedLicense/Approval Dates06/01/2022toQuality Rating Evaluation Date05/31/2023Capacity :Medcaid Cert:86336License #FLAGSTAFF01/01/2022Medcaid Cert:86001License #SEDONALicense/Approval DatesCertifiedLicense/Approval Dates03/01/2022to02/28/2023Capacity :Medcaid Cert:CertifiedQuality Rating Evaluation Date

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Medicaid Certified FacilitiesCountyCOCONINOSub-Type :Wednesday, June 1, 2022Total 32ASSISTED LIVING CENTER-DIRECTEDLicense #NameContact InformationAL8174CBEEHIVE HOMES OF PAGE, ELK RDTele: (928)660-068195 ELK ROADFax:PAGESub-Type :AZ(928)300-927686040NameContact InformationBH3195EAGLE RIDGETele: (928)910-86878800 NORTH MARY'S DRIVEFax:FLAGSTAFFAZ(928)717-166086004License #NameContact InformationBH4886THE GUIDANCE CENTER, INC.Tele: (928)527-18992187 NORTH VICKEY STREETFax:FLAGSTAFFAZ(928)714-648086004License #NameContact InformationBH2956THE GUIDANCE CENTER, INC.Tele: (928)527-18992697 EAST INDUSTRIAL DRIVEFax:FLAGSTAFFLicense #10/01/2020toQuality Rating Evaluation Date09/30/2022Capacity :16Medcaid Cert:CertifiedBH RESIDENTIAL FACILITY - ADULTLicense #Sub-Type :License/Approval DatesAZ(928)714-648086004License/Approval Dates11/01/2020to10/31/2022Capacity :8Medcaid Cert:CertifiedLicense/Approval Dates05/01/2020to11Medcaid Cert:CertifiedLicense/Approval DatestoQuality Rating Evaluation Date04/30/2023Capacity :08/01/2020Quality Rating Evaluation DateQuality Rating Evaluation Date07/31/2022Capacity :16Medcaid Cert:CertifiedCOUNSELINGNameContact InformationCSLG7642 CATHOLIC CHARITIES COMMUNITY SERVICES, INC.2101 NORTH FOURTH STREETFLAGSTAFFAZ86004Tele: (602)285-1999Fax:(928)774-0697License/Approval Dates03/01/2022to02/28/2023Capacity :Medcaid Cert:CertifiedQuality Rating Evaluation Date

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Medicaid Certified FacilitiesCountyCOCONINOSub-Type :License #Total 32COUNSELINGNameContact InformationCSLG8261 ENCOMPASS HEALTH SERVICESPAGEAZ2323 EAST GREENLAW LANE, SUITE 12AAZ2100 NORTH WALGREENS STREET, SUITE CLicense #AZTele: (928)774-4503Fax:(928)774-5809AZTele: (928)289-265086004FEDERALLY QUALIFIED HEALTH CENTER( ) -toQuality Rating Evaluation Date03/31/2023Capacity :CertifiedLicense/Approval Dates05/01/2022toQuality Rating Evaluation Date04/30/2023Capacity :CertifiedLicense/Approval Dates04/01/2022toQuality Rating Evaluation Date03/31/2023Capacity :Medcaid Cert:Fax:2410 EAST ROUTE 66 #A04/01/2022Medcaid Cert:Contact InformationCSLG1170 WINSLOW GUIDANCE ASSOCIATES INC6Sub-Type :( ) -86004NameFLAGSTAFFFax:Contact InformationCSLG6338 NORTHLAND FAMILY HELP CENTERFLAGSTAFFTele: (928)275-133986004NameLicense/Approval DatesMedcaid Cert:Contact InformationCSLG8932 KAIBAB BEHAVIORAL SERVICESLicense #(928)645-325486040NameFLAGSTAFFTele: (928)645-5113Fax:608 ELM SUITE A, B (190)License #Wednesday, June 1, 2022CertifiedLicense/Approval Dates05/24/2022to04/30/2023Capacity :Medcaid Cert:CertifiedQuality Rating Evaluation Date

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Medicaid Certified FacilitiesCountyCOCONINOSub-Type :License #Wednesday, June 1, 2022Total 32FEDERALLY QUALIFIED HEALTH CENTERNameContact InformationNATIVE AMERICANS FOR COMMUNITY ACTION, INCTele: (928)526-29682717 NORTH STEVES BOULEVARD, SUITE 11Fax:FLAGSTAFFAZ(928)526-0708NameContact InformationOTC7414NORTH COUNTRY HEALTHCARE - FLAGSTAFF WESTTele: (928)522-98041120 WEST UNIVERSITY AVENUE, SUITE 101Fax:Sub-Type :AZ(928)552-9558Capacity :CertifiedLicense/Approval Dates08/01/2021toQuality Rating Evaluation Date07/31/2022Capacity :Medcaid Cert:86001Quality Rating Evaluation DatetoMedcaid Cert:86004License #FLAGSTAFFLicense/Approval DatesCertifiedHOME HEALTH AGENCY - MEDICARELicense #NameContact InformationHHA3429HORIZON HOME HEALTH, LLCTele: (928)645-9110906 NORTH NAVAJO DRIVEFax:PAGEAZ(928)645-9410NameContact InformationHHA7679NORTHERN ARIZONA HOME HEALTHTele: (928)773-22381501 SOUTH YALE STREET, SUITE 101Fax:AZ(928)773-2078NameContact InformationHHA5463ZION'S WAY HOME HEALTHTele: (928)645-036647 6TH AVENUEFax:AZ86040(928)645-0370toQuality Rating Evaluation Date05/31/2022Capacity :CertifiedLicense/Approval Dates04/01/2021toQuality Rating Evaluation Date03/31/2022Capacity :Medcaid Cert:86001License #PAGE06/01/2021Medcaid Cert:86040License #FLAGSTAFFLicense/Approval DatesCertifiedLicense/Approval Dates04/01/2021to03/31/2022Capacity :Medcaid Cert:CertifiedQuality Rating Evaluation Date

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Medicaid Certified FacilitiesCountyCOCONINOSub-Type :Wednesday, June 1, 2022Total 32HOSPICE - MEDICARELicense #NameContact InformationHSPC7726ACCORD HOSPICE OF SEDONA VALLEY, LLCTele: (928)278-41342155 WEST STATE ROUTE 89A, SUITE 24Fax:SEDONASub-Type :AZ(928)278-4138toQuality Rating Evaluation Date05/31/2022Capacity :CertifiedHOSPITAL - CRITICAL ACCESSNameContact InformationH0086PAGE HOSPITALTele: (928)645-2424501 NORTH NAVAJO DRIVEFax:PAGEAZ(928)645-354986040License/Approval Dates01/06/2022toQuality Rating Evaluation Date04/30/2024Capacity :25Medcaid Cert:CertifiedHOSPITAL - SHORT TERMLicense #NameContact InformationH0169FLAGSTAFF MEDICAL CENTERTele: (928)779-33661200 NORTH BEAVER STREETFax:FLAGSTAFFSub-Type :06/01/2021Medcaid Cert:86336License #Sub-Type :License/Approval DatesAZ(928)773-234886001License/Approval Dates12/01/2020toQuality Rating Evaluation Date11/30/2023Capacity :3EMedcaid Cert:CertifiedOUTPATIENT TREATMENT CENTERLicense #NameContact InformationOTC6051ARIZONA'S CHILDREN ASSOCIATIONTele: (602)234-3733906 WEST UNIVERSITY AVENUE, SUITE al Dates07/01/2021to06/30/2022Capacity :Medcaid Cert:CertifiedQuality Rating Evaluation Date

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Medicaid Certified FacilitiesCountyCOCONINOSub-Type :Wednesday, June 1, 2022Total 32OUTPATIENT TREATMENT CENTERLicense #NameContact InformationOTC10265CHILD & FAMILY SUPPORT SERVICES, INCTele: (480)635-99443100 NORTH WEST STREET, SUITE 300Fax:FLAGSTAFFAZ(928)774-0856NameContact InformationOTC6387ENCOMPASS HEALTH SERVICES, INCTele: (928)643-7230170 NORTH MAIN STREETFax:AZ(928)643-7988NameContact InformationOTC6139GUIDANCE CENTER, INC, THETele: (928)527-1899220 WEST GRANT AVENUEFax:AZ(928)714-6480License #NameContact InformationOTC6088GUIDANCE CENTER, INC., THETele: (928)527-18992187 NORTH VICKEY STREETFax:FLAGSTAFFAZ(928)714-648086004License #NameContact InformationOTC6726GUIDANCE CENTER, INC., THETele: (928)527-18992695 EAST INDUSTRIAL rtifiedLicense/Approval Dates05/01/2022toQuality Rating Evaluation Date04/30/2023Capacity :CertifiedLicense/Approval Dates11/01/2021toQuality Rating Evaluation Date10/31/2022Capacity :Medcaid Cert:86046toQuality Rating Evaluation DateCapacity :Medcaid Cert:86022License #WILLIAMS07/01/2021Medcaid Cert:86004License #FREDONIALicense/Approval DatesCertifiedLicense/Approval Dates12/01/2021to11/30/2022Capacity :7Medcaid Cert:CertifiedLicense/Approval Dates10/01/2021to09/30/2022Capacity :Medcaid Cert:Quality Rating Evaluation DateCertifiedQuality Rating Evaluation Date

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Medicaid Certified FacilitiesCountyCOCONINOSub-Type :Wednesday, June 1, 2022Total 32OUTPATIENT TREATMENT CENTERLicense #NameContact InformationOTC6666SOUTHWEST BEHAVIORAL HEALTH SERVICES FLAGSTAFFOUTPATIENT/ORSTele: (602)285-43181515 EAST CEDAR AVE, SUITES B-2 B-3, B-4, E-1, E-2Fax:FLAGSTAFFAZ(928)779-4493NameContact InformationOTC10420THE GUIDANCE CENTER, INCTele: (928)527-18992187 NORTH VICKEY STREETFax:Sub-Type :AZ( ) -86004toQuality Rating Evaluation Date07/31/2022Capacity :CertifiedLicense/Approval Dates10/01/2021toQuality Rating Evaluation Date09/30/2022Capacity :7Medcaid Cert:CertifiedSKILLED NURSING FACILITY/NURSING FACILITY DUAL CERTIFIEDLicense #NameContact InformationNCI-2662HAVEN OF FLAGSTAFF, LLCTele: (928)779-6931800 WEST UNIVERSITY AVENUEFax:FLAGSTAFFAZ(928)779-218086001License #NameContact InformationNCI-2709HAVEN OF SEDONA, LLCTele: (928)284-1000505 JACKS CANYON ROADFax:SEDONAAZ(714)256-200386351License #NameContact InformationNCI-2515THE PEAKS HEALTH & REHABILITATIONTele: (928)774-71063150 NORTH WINDING BROOK ROADFax:FLAGSTAFFSub-Type :08/01/2021Medcaid Cert:86004License #FLAGSTAFFLicense/Approval DatesAZ86001SUBSTANCE ABUSE TRANSITIONAL(928)213-0831License/Approval Dates02/01/2022to01/31/2023Capacity :83Medcaid Cert:CertifiedLicense/Approval Dates07/01/2021to06/30/2022Capacity :1EMedcaid Cert:CertifiedLicense/Approval Dates04/01/2022to03/31/2023Capacity :58Medcaid Cert:CertifiedQuality Rating Evaluation DateA10/26/2020Quality Rating Evaluation DateA02/09/2022Quality Rating Evaluation DateA02/27/2020

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Medicaid Certified FacilitiesCountyCOCONINOSub-Type :Wednesday, June 1, 2022Total 32SUBSTANCE ABUSE TRANSITIONALLicense #NameContact InformationSABH6449ENCOMPASS HEALTH SERVICES, INC.Tele: (928)645-493432 NORTH 10TH AVENUE, SUITE 5Fax:PAGECountyGILASub-Type :AZ(928)645-32548604007/01/2021toQuality Rating Evaluation Date06/30/2022Capacity :10Medcaid Cert:CertifiedTotal 24ARIZONA HOME HEALTH AGENCY ONLYLicense #NameContact InformationHHA8539BILLET HOME HEALTH INC. - GLOBETele: (844)824-3577385 NORTH BROAD STREET, SUTIE 100BFax:GLOBESub-Type :License/Approval DatesAZ(623)374-6269License/Approval Dates09/01/202108/31/2022Capacity :Medcaid Cert:85501toQuality Rating Evaluation DateCertifiedASSISTED LIVING HOME-DIRECTEDLicense #NameContact InformationAL4632HORDINARY LIFESTYLESTele: (928)595-2068401 NORTH LAREDO LANEFax:PAYSONAZ(888)673-252885541License #NameContact InformationAL9273HORDINARY LIFESTYLES IVTele: (928)595-2068205 WEST al Dates02/01/2020to01/31/2023Capacity :10Medcaid Cert:CertifiedLicense/Approval Dates12/01/2020toQuality Rating Evaluation Date11/30/2022Capacity :8Medcaid Cert:CertifiedQuality Rating Evaluation Date

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Medicaid Certified FacilitiesCountyGILASub-Type :Wednesday, June 1, 2022Total 24ASSISTED LIVING HOME-DIRECTEDLicense #NameContact InformationAL9118HORDINARY LIFESTYLES, LLC IIITele: (928)595-2068207 EAST ZURICHFax:PAYSONSub-Type :AZ(888)673-25288554107/01/2020toQuality Rating Evaluation Date06/30/2023Capacity :10Medcaid Cert:CertifiedBH RESIDENTIAL FACILITY - ADULTLicense #NameContact InformationBH5370GLOBE TRANSITION POINTTele: (480)831-75665734 HOPE LANE, SUITE 2Fax:GLOBEAZ(480)831-756385501License #NameContact InformationBH5091PAYSON TRANSITION POINTTele: (480)831-7566803 WEST MAIN STREET, SUITE CFax:PAYSONAZ(480)831-756385541License #NameContact InformationBH1863SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.-ROUNDVALLEY RESIDENTIALTele: (602)285-42268985 WEST STAGELINE ROADFax:PAYSONSub-Type :License/Approval DatesAZ(602)265-855985541License/Approval Dates04/01/2021to03/31/2023Capacity :9Medcaid Cert:CertifiedLicense/Approval Dates03/01/2020to10Medcaid Cert:CertifiedLicense/Approval DatestoQuality Rating Evaluation Date02/28/2023Capacity :02/01/2020Quality Rating Evaluation DateQuality Rating Evaluation Date01/31/2023Capacity :16Medcaid Cert:CertifiedEND STAGE RENAL DISEASE FACILITIES - MEDICARELicense #NameContact InformationOTC4357TOTAL RENAL CARE, INC.Tele: (928)474-7000809 WEST LONGHORN ROADFax:PAYSONAZ85541(928)474-9983License/Approval Dates03/01/2022to02/28/2023Capacity :6Medcaid Cert:CertifiedQuality Rating Evaluation Date

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Medicaid Certified FacilitiesCountyGILASub-Type :Wednesday, June 1, 2022Total 24FEDERALLY QUALIFIED HEALTH CENTERLicense #NameContact InformationOTC5504CANYONLANDS HEALTHCARE GLOBETele: (928)402-04915860 SOUTH HOSPITAL DRIVE, SUITE 102Fax:GLOBESub-Type :AZ(928)402-0490toQuality Rating Evaluation Date08/31/2022Capacity :CertifiedHOME HEALTH AGENCY - MEDICARENameContact InformationHHA7245BANNER HOME CARE - PAYSONTele: (928)596-4777708 EAST ROUTE 260, SUITE A1Fax:PAYSONAZ(928)596-4770NameContact InformationHHA8387COPPER STATE HOME HEALTH, LLCTele: (928)200-9708996 NORTH BROAD STREET, SUITE 7Fax:GLOBEAZLicense/Approval Dates08/01/2021( ) -07/31/2022CertifiedLicense/Approval Dates07/01/2021toQuality Rating Evaluation Date06/30/2022Capacity :Medcaid Cert:85501toQuality Rating Evaluation DateCapacity :Medcaid Cert:85541License #CertifiedHOSPICE - MEDICARELicense #NameContact InformationHSPC6536HOSPICE OF PAYSON, LLCTele: (928)474-2415900 NORTH BEELINE HIGHWAY, SUITE BFax:PAYSONSub-Type :09/01/2021Medcaid Cert:85501License #Sub-Type :License/Approval DatesAZ85541HOSPITAL - CRITICAL ACCESS(928)474-2140License/Approval Dates05/01/2022to04/30/2023Capacity :Medcaid Cert:CertifiedQuality Rating Evaluation Date

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Medicaid Certified FacilitiesCountyGILASub-Type :Wednesday, June 1, 2022Total 24HOSPITAL - CRITICAL ACCESSLicense #NameContact InformationRGH0126COBRE VALLEY REGIONAL MEDICAL CENTERTele: (928)402-11225880 SOUTH HOSPITAL DRIVEFax:GLOBESub-Type :License #8550103/01/2022toQuality Rating Evaluation Date02/28/2023Capacity :25Medcaid Cert:CertifiedHOSPITAL - SHORT TERMNameContact InformationSAN CARLOS APACHE HEALTHCARE CORP.Tele: (928)475-1200103 MEDICINE WAY ROADFax:PERIDOTSub-Type :AZ(928)425-7903License/Approval DatesAZ( ) -License/Approval DatestoCapacity :Medcaid Cert:85542Quality Rating Evaluation DateCertifiedOUTPATIENT TREATMENT CENTERLicense #NameContact InformationOTC6025COMMUNITY BRIDGES, INC. - GLOBE OUTPATIENT SERVICECENTERTele: (480)831-75665734 EAST HOPE LANE, SUITE 2Fax:GLOBEAZ(480)831-7563NameContact InformationOTC6017COMMUNITY BRIDGES, INC. - PAYSON OUTPATIENTSERVICES CENTERTele: (480)831-7566803 WEST MAIN STREETFax:AZ8554111/01/2021(480)831-7563toQuality Rating Evaluation Date10/31/2022Capacity :Medcaid Cert:85501License #PAYSONLicense/Approval DatesCertifiedLicense/Approval Dates07/01/2021to06/30/2022Capacity :Medcaid Cert:CertifiedQuality Rating Evaluation Date

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Medicaid Certified FacilitiesCountyGILASub-Type :Wednesday, June 1, 2022Total 24OUTPATIENT TREATMENT CENTERLicense #NameContact InformationOTC6680HORIZON HEALTH AND WELLNESS, INCTele: (520)876-1837415 WEST BASELINE SPUR, SOUTHFax:GLOBEAZ(520)421-2708NameContact InformationOTC5970RIM GUIDANCE CENTER - AERO LOCATIONTele: (602)257-9339404 WEST AERO DRIVEFax:Sub-Type l Dates05/01/2022toQuality Rating Evaluation Date04/30/2023Capacity :CertifiedRURAL HEALTH CLINICS - MEDICARENameContact InformationOTCCOBRE VALLEY REGIONAL MEDICAL CENTERTele: (928)425-32615880 SOUTH HOSPITAL DRIVEFax:GLOBEAZ(928)425-3859NameContact InformationOTCCOBRE VALLEY R

OTC6254 COMMUNITY HEALTH ASSOCIATES - BISBEE 1326 HIGHWAY 92, SUITE J BISBEE 85603 (928)376-0026 06/01/2022 05/31/2023 License/Approval Dates to Capacity : License # Name Contact Information (928)376-0026 Tele: Fax: Quality Rating Evaluation Date AZ Medcaid_Cert: Certified OTC6460 COMMUNITY HEALTH ASSOCIATES - DOUGLAS 1701 NORTH DOUGLAS AVENUE .