Arizona Training Program - Campbell in Phoenix - Intermediate Care Facility, Intellectual Disabilities
Arizona Training Program - Campbell - NPI 1982869632
Arizona Training Program - Campbell is a Intermediate Care Facility, Intellectual Disabilities in Phoenix, Arizona. Arizona Training Program - Campbell practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Arizona Training Program - Campbell is 1982869632. The last update date is 2008-07-22.
Arizona Training Program - Campbell's current location address is 1789 W Jefferson Street, Phoenix, Arizona. You can contact this provider via phone number 6025426857 and fax number 6023641322. The mailing address for Arizona Training Program - Campbell is 1789 W Jefferson Street, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Arizona Training Program - Campbell |
|---|---|
| Address | 1789 W Jefferson Street, Phoenix, Arizona |
| Phone Number | 6025426857 |
| Fax Number | 6023641322 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Brent Barbara |
| Telephone Number | 6025426857 |
NPI Number Detail
| NPI Number | 1982869632 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 1789 W Jefferson Street |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 85005 |
| Phone Number | 6025426857 |
| Fax Number | 6023641322 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40056 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Arizona Training Program - Campbell by the Centers for Medicare & Medicaid Services?
The Arizona Training Program - Campbell has been issued the NPI (National Provider Identifier) 1982869632 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Arizona Training Program - Campbell?
The Arizona Training Program - Campbell is situated at 1789 W Jefferson Street, in the city of Phoenix, state of AZ, with the zip code 85005.
What is Arizona Training Program - Campbell's area of expertise and its corresponding taxonomy classification?
The Arizona Training Program - Campbell's field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
When did Arizona Training Program - Campbell receive its 1982869632 assignment?
The Arizona Training Program - Campbell was assigned its 1982869632 on 2008-07-22, which is the date when this unique identifier was issued to the organization.
When was the information regarding Arizona Training Program - Campbell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Arizona Training Program - Campbell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY