PASADERA BEHAVIORAL HEALTH NETWORK DBA LEVEL II DETOXIFICATION NPI 1780788240

NPI Information

NPI: 1780788240
Provider Name: PASADERA BEHAVIORAL HEALTH NETWORK DBA LEVEL II DETOXIFICATION

Former Legal Business Name: COMPASS HEALTH CARE, INC.

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2950 N DODGE BLVD.
TUCSON, AZ
ZIP 85716
Phone: (520) 624-5272
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PASADERA BEHAVIORAL HEALTH NETWORK DBA LEVEL II DETOXIFICATION is a substance abuse rehabilitation facility in Tucson, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PASADERA BEHAVIORAL HEALTH NETWORK DBA LEVEL II DETOXIFICATION NPI is 1780788240. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Compass Health Care, Inc..

The provider's business location address is:

2950 N DODGE BLVD.
TUCSON, AZ
ZIP 85716
Phone: (520) 624-5272
Fax: (520) 628-4023

The provider's authorized official is Grover Glenn .
The authorized official title is Director Of Qm and has the following contact phone number (520) 618-8622.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 9/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility				No
2	324500000X	Substance Abuse Rehabilitation Facility		BH/H-3958	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	807745	MEDICAID	ARIZONA
2	592578	MEDICAID	ARIZONA
3	BH/H-3958	OTHER	ARIZONA	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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