Providence Of Arizona, Inc. in Phoenix - Mental Health (including Community Mental Health Center)
Providence Of Arizona, Inc. - NPI 1588764427
Providence Of Arizona, Inc. is a Mental Health (including Community Mental Health Center) in Phoenix, Arizona. Providence Of Arizona, Inc. practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Providence Of Arizona, Inc. is 1588764427. The last update date is 2020-08-22.
Providence Of Arizona, Inc.'s current location address is 3602 W Thomas Rd, Phoenix, Arizona. You can contact this provider via phone number 6024554626 and fax number 6024554624. The mailing address for Providence Of Arizona, Inc. is 3602 W Thomas Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Of Arizona, Inc. |
|---|---|
| Address | 3602 W Thomas Rd, Phoenix, Arizona |
| Phone Number | 6024554626 |
| Fax Number | 6024554624 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Hedgcock David |
| Credentials | M.ED |
| Telephone Number | 6024554626 |
NPI Number Detail
| NPI Number | 1588764427 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3602 W Thomas Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850194442 |
| Phone Number | 6024554626 |
| Fax Number | 6024554624 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
| Licence No | BH-2200 |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 796021 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Providence Of Arizona, Inc. by the Centers for Medicare & Medicaid Services?
The Providence Of Arizona, Inc. has been assigned the NPI (National Provider Identifier) 1588764427 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Providence Of Arizona, Inc. is located?
The Providence Of Arizona, Inc. is situated at the following address: 3602 W Thomas Rd, Phoenix, AZ, 850194442.
What is Providence Of Arizona, Inc.'s area of expertise and its corresponding taxonomy classification?
The Providence Of Arizona, Inc.'s field of specialization is Mental Health (including Community Mental Health Center), and it falls under the taxonomy code 261Qm0801X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1588764427 assigned to Providence Of Arizona, Inc.?
The Providence Of Arizona, Inc. was issued its 1588764427 on 2006-09-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Providence Of Arizona, Inc. most recently updated or revised?
The information pertaining to Providence Of Arizona, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.