Kayenta Outpatient Treatment Center in Kayenta - Point Of Service
Kayenta Outpatient Treatment Center - NPI 1811109762
Kayenta Outpatient Treatment Center is a Point Of Service in Kayenta, Arizona. Kayenta Outpatient Treatment Center practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Kayenta Outpatient Treatment Center is 1811109762. The last update date is 2022-03-10.
Kayenta Outpatient Treatment Center's current location address is Po Box 487, Kayenta, Arizona. You can contact this provider via phone number 9286975570 and fax number 9286975574. The mailing address for Kayenta Outpatient Treatment Center is Po Box 487, Kayenta, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kayenta Outpatient Treatment Center |
|---|---|
| Address | Po Box 487, Kayenta, Arizona |
| Phone Number | 9286975570 |
| Fax Number | 9286975574 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BEHAVIORAL |
|---|---|
| Authorized Official Name | Blatchford Miranda |
| Credentials | LCSW |
| Telephone Number | 9286975570 |
NPI Number Detail
| NPI Number | 1811109762 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2022-03-10 |
Provider Mailing Address Detail
| Address | Po Box 487 |
|---|---|
| City | Kayenta |
| State | Arizona (AZ) |
| Post Code | 860330487 |
| Phone Number | 9286975570 |
| Fax Number | 9286975574 |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
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Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 329559 | AZ | -- |
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What is the unique 10-digit identifier code assigned to Kayenta Outpatient Treatment Center by the Centers for Medicare & Medicaid Services?
The Kayenta Outpatient Treatment Center has been issued the NPI (National Provider Identifier) 1811109762 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Kayenta Outpatient Treatment Center's physical address?
The Kayenta Outpatient Treatment Center is physically located at Po Box 487, in the city of Kayenta, AZ, with the postal code 860330487.
What is Kayenta Outpatient Treatment Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kayenta Outpatient Treatment Center's area of specialization is Point Of Service, and the corresponding taxonomy code that categorizes this field of practice is 305S00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811109762 to Kayenta Outpatient Treatment Center?
The Kayenta Outpatient Treatment Center received its 1811109762 assignment from the Centers for Medicare & Medicaid Services on 2007-05-04.
When was the information related to Kayenta Outpatient Treatment Center most recently updated or refreshed?
The details pertaining to the Kayenta Outpatient Treatment Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-03-10.
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