The Watkins Home in Goodyear - Exclusive Provider Organization
The Watkins Home - NPI 1396890620
The Watkins Home is a Exclusive Provider Organization in Goodyear, Arizona. The Watkins Home practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for The Watkins Home is 1396890620. The last update date is 2013-06-12.
The Watkins Home's current location address is 15372 W Roanoke Ave, Goodyear, Arizona. You can contact this provider via phone number 6235355533 and fax number 6235356666. The mailing address for The Watkins Home is 15372 W Roanoke Ave, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Watkins Home |
|---|---|
| Address | 15372 W Roanoke Ave, Goodyear, Arizona |
| Phone Number | 6235355533 |
| Fax Number | 6235356666 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Watkins Ann Yvonne |
| Telephone Number | 6235355533 |
NPI Number Detail
| NPI Number | 1396890620 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2013-06-12 |
Provider Mailing Address Detail
| Address | 15372 W Roanoke Ave |
|---|---|
| City | Goodyear |
| State | Arizona (AZ) |
| Post Code | 853958980 |
| Phone Number | 6235355533 |
| Fax Number | 6235356666 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
| Licence No | BH4267 |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BH2622 | AZ | OBHL LICENSE | |
| 941147 | AZ | -- | |
| BH3584 | AZ | OFFICE OF BEHAVIORAL HEALTH LI |
Post Comment/ Review Below
What is the unique identifier code issued to The Watkins Home by the Centers for Medicare & Medicaid Services?
The The Watkins Home has been assigned the NPI (National Provider Identifier) 1396890620. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where The Watkins Home's facilities are geographically located?
The facilities of The Watkins Home are physically situated at the following location: 15372 W Roanoke Ave, Goodyear, AZ, 853958980.
What is The Watkins Home's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for The Watkins Home is Exclusive Provider Organization, and the taxonomy code that classifies this field of practice is 302F00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396890620 to The Watkins Home?
The Centers for Medicare & Medicaid Services assigned the 1396890620 to The Watkins Home on 2007-01-25.
As of what date was the information regarding The Watkins Home, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to The Watkins Home, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-06-12.
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