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CALVARY CENTER INC NPI 1013134667


NPI Information

NPI: 1013134667
Provider Name: CALVARY CENTER INC

Doing Business As: CALVARY HEALING CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 03D2204940

Address:
720 E MONTEBELLO
PHOENIX, AZ
ZIP 85014
Phone: (602) 279-1468
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CALVARY CENTER INC is a substance abuse rehabilitation facility in Phoenix, 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. CALVARY CENTER INC NPI is 1013134667. The provider is registered as an organization entity type.
The provider Is Doing Business As Calvary Healing Center.

The provider's business location address is:

720 E MONTEBELLO
PHOENIX, AZ
ZIP 85014
Phone: (602) 279-1468
Fax: (602) 279-3090

The provider's authorized official is Steve Filton .
The authorized official title is Cfo/sr Vp and has the following contact phone number (610) 768-3300.

The CLIA number assigned to this NPI record is 03D2204940 - other - bhc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 11/8/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityBH 2397ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1847634OTHERARIZONAAHCCCS

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

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