Provider Demographics
NPI:1295932200
Name:DIVERSIFIED SOLUTIONS, INC.
Entity type:Organization
Organization Name:DIVERSIFIED SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:CONFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-468-5656
Mailing Address - Street 1:1107 S BEELINE HWY STE 4
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85541-5486
Mailing Address - Country:US
Mailing Address - Phone:928-472-3388
Mailing Address - Fax:
Practice Address - Street 1:1107 S BEELINE HWY STE 4
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-5486
Practice Address - Country:US
Practice Address - Phone:928-472-3388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ64822Medicaid