Ccr Otc LLC
Ccr Otc LLC is a healthcare organization registered as Substance Use Disorder Rehabilitation Clinic/Center in Prescott, AZ, holding Type 2 (organization) NPI 1700281219 since 2014. The authorized official on file is Erin Bachman, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700281219 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ccr Otc LLC |
| Practice address | 819 W GURLEY ST UNIT C, Prescott, AZ, 86305 |
| Phone | 9286710161 |
| Fax | 9287089620 |
| Enumeration date | 2014-10-27 |
| Last updated in NPPES | 2014-10-27 |
Authorized official
| Name | Erin Bachman |
|---|---|
| Title | Cfo |
| Phone | 9286710161 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Primary | 10486 | AZ |
Copy-ready billing details
Provider: Ccr Otc LLC NPI: 1700281219 Taxonomy: 261QR0405X (Substance Use Disorder Rehabilitation Clinic/Center) Address: 819 W GURLEY ST UNIT C, Prescott, AZ, 86305
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134543481 | R. Smyly Addiction Clinical Services LLC | Organization | Addiction (Substance Use Disorder) Counselor | Prescott, AZ |
Verify this record
Cross-check NPI 1700281219 against the authoritative CMS record: view Ccr Otc LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Ccr Otc LLC?
What is the NPI number for Ccr Otc LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-10-27.