Virginia Arizona-Fat in Kaibeto - Addiction (substance Use Disorder)
Virginia Arizona-Fat - NPI 1467481168
Virginia Arizona-Fat is a Addiction (substance Use Disorder) in Kaibeto, Arizona. Virginia Arizona-Fat practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Virginia Arizona-Fat is 1467481168. The last update date is 2019-08-19.
Virginia Arizona-Fat's current location address is Po Box 2147, Kaibeto, Arizona. You can contact this provider via phone number 9286733267 and fax number 9286733269. The mailing address for Virginia Arizona-Fat is Po Box 2147, Kaibeto, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Virginia Arizona-Fat |
|---|---|
| Address | Po Box 2147, Kaibeto, Arizona |
| Phone Number | 9286733267 |
| Fax Number | 9286733269 |
| Sole Proprietor | N |
| Credentials | LISAC,CPS |
NPI Number Detail
| NPI Number | 1467481168 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2019-08-19 |
Provider Mailing Address Detail
| Address | Po Box 2147 |
|---|---|
| City | Kaibeto |
| State | Arizona (AZ) |
| Post Code | 860532147 |
| Phone Number | 9286733267 |
| Fax Number | 9286733269 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | LISAC-11471 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 972572 | AZ | -- |
Post Comment/ Review Below
What is the Virginia Arizona-Fat's unique identification number?
The Virginia Arizona-Fat has been assigned the NPI (National Provider Identifier) Number 1467481168 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Virginia Arizona-Fat is located?
The Virginia Arizona-Fat is situated at the following address: Po Box 2147, Kaibeto, AZ, 860532147.
What is Virginia Arizona-Fat's specialized field of practice, and what is the corresponding taxonomy classification code?
The Virginia Arizona-Fat's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1467481168 to Virginia Arizona-Fat?
The Centers for Medicare & Medicaid Services originally issued the 1467481168 to Virginia Arizona-Fat on 2006-07-03.
As of what date were the details pertaining to Virginia Arizona-Fat last refreshed?
The information related to the Virginia Arizona-Fat, including its address, specialty, and other relevant details, was last updated on 2019-08-19.