Empact - Suicide Prevention Center in Maricopa - Community/behavioral Health
Empact - Suicide Prevention Center - NPI 1477715803
Empact - Suicide Prevention Center is a Community/behavioral Health in Maricopa, Arizona. Empact - Suicide Prevention Center practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Empact - Suicide Prevention Center is 1477715803. The last update date is 2023-10-03.
Empact - Suicide Prevention Center's current location address is 21476 N John Wayne Pkwy Ste C101, Maricopa, Arizona. You can contact this provider via phone number 5203166068 and fax number 5205686289. The mailing address for Empact - Suicide Prevention Center is 21476 N John Wayne Pkwy Ste C101, Maricopa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Empact - Suicide Prevention Center |
|---|---|
| Address | 21476 N John Wayne Pkwy Ste C101, Maricopa, Arizona |
| Phone Number | 5203166068 |
| Fax Number | 5205686289 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Rasmussen Brittany |
| Telephone Number | 4807841514 |
NPI Number Detail
| NPI Number | 1477715803 |
|---|---|
| Provider Enumeration Date | 2008-06-26 |
| Last Updated Date | 2023-10-03 |
Provider Mailing Address Detail
| Address | 21476 N John Wayne Pkwy Ste C101 |
|---|---|
| City | Maricopa |
| State | Arizona (AZ) |
| Post Code | 851398984 |
| Phone Number | 5203166068 |
| Fax Number | 5205686289 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 3046 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3046 | AZ | AZ DEPARTMENT OF HEALTH SERVIC |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Empact - Suicide Prevention Center by the Centers for Medicare & Medicaid Services?
The Empact - Suicide Prevention Center has been issued the NPI (National Provider Identifier) 1477715803, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Empact - Suicide Prevention Center's facilities are situated?
The facilities of Empact - Suicide Prevention Center are physically located at the following address: 21476 N John Wayne Pkwy Ste C101, Maricopa, AZ, 851398984.
What is the Empact - Suicide Prevention Center's area of specialization and corresponding taxonomy classification?
The Empact - Suicide Prevention Center's specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1477715803 to Empact - Suicide Prevention Center?
The Empact - Suicide Prevention Center received its 1477715803 assignment from the Centers for Medicare & Medicaid Services on 2008-06-26.
When was the information regarding Empact - Suicide Prevention Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Empact - Suicide Prevention Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-10-03.