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Mingus Mountain Estate Residential Center Inc

Emotionally Disturbed Childrens' Residential Treatment Facility in Prescott Valley, AZ · enumerated 2006 · authorized official Randy Copas, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356358519

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Registry record

Entity type Organization (Type 2)
Legal business name Mingus Mountain Estate Residential Center Inc
Practice address 15801 E Don Carlos Dr, Prescott Valley, AZ, 86315
Phone (602) 335-2068
Fax (602) 335-2066
Enumeration date Aug 1, 2006
Last updated in NPPES Jun 19, 2023

Taxonomy & classification

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License BH-312 (AZ) Primary

Authorized official

Name Randy Copas
Title Executive Director
Phone (602) 335-2000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Mingus Mountain Estate Residential Center Inc?
NPPES lists Randy Copas (Executive Director) as the authorized official for this organization.
What is the NPI number for Mingus Mountain Estate Residential Center Inc?
The NPI for Mingus Mountain Estate Residential Center Inc is 1356358519, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-06-19.