Centro De Amistad, Incorporado in Phoenix - Community/behavioral Health
Centro De Amistad, Incorporado - NPI 1073684791
Centro De Amistad, Incorporado is a Community/behavioral Health in Phoenix, Arizona. Centro De Amistad, Incorporado practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Centro De Amistad, Incorporado is 1073684791. The last update date is 2011-03-08.
Centro De Amistad, Incorporado's current location address is 2923 N 33rd Ave, Phoenix, Arizona. You can contact this provider via phone number 6023933840 and fax number 6023933842. The mailing address for Centro De Amistad, Incorporado is 2923 N 33rd Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Centro De Amistad, Incorporado |
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Address | 2923 N 33rd Ave, Phoenix, Arizona |
Phone Number | 6023933840 |
Fax Number | 6023933842 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Monroy Rita |
Telephone Number | 6023933840 |
NPI Number Detail
NPI Number | 1073684791 |
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Provider Enumeration Date | 2006-11-13 |
Last Updated Date | 2011-03-08 |
Provider Mailing Address Detail
Address | 2923 N 33rd Ave |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 850175201 |
Phone Number | 6023933840 |
Fax Number | 6023933842 |
Provider's Primary Taxonomy Detail
Speciality | Community/behavioral Health |
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Taxonomy | 251S00000X |
Licence No | BH-2632 |
Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1062003 | AZ | VO BILLING NUMBER | |
116906 | AZ | AHCCCS PROVIDER # | |
A000173 | AZ | MHS VENDOR NO. | |
BH-2632 | AZ | AZ BH LICENSE NO | |
600252351 | AZ | MAGELLAN MIS# | |
BH-3610 | AZ | AZ BH LINENCE # |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Centro De Amistad, Incorporado by the Centers for Medicare & Medicaid Services?
The Centro De Amistad, Incorporado has been assigned the NPI (National Provider Identifier) 1073684791 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Centro De Amistad, Incorporado is located?
The Centro De Amistad, Incorporado is situated at the following address: 2923 N 33Rd Ave, Phoenix, AZ, 850175201.
What is Centro De Amistad, Incorporado's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Centro De Amistad, Incorporado is Community/behavioral Health, and the taxonomy classification code that categorizes this area of expertise is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073684791 to Centro De Amistad, Incorporado?
The Centers for Medicare & Medicaid Services assigned the 1073684791 to Centro De Amistad, Incorporado on 2006-11-13.
When was the Centro De Amistad, Incorporado's information last updated?
The Centro De Amistad, Incorporado's information was last updated on 2011-03-08.
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