TELECARE MENTAL HEALTH SERVICES OF ARIZONA INC NPI 1073918470

NPI Information

NPI: 1073918470
Provider Name: TELECARE MENTAL HEALTH SERVICES OF ARIZONA, INC

Other Name: TELECARE SIERRA VISTA ACT

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
75 N GARDEN AVE
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 459-9929
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TELECARE MENTAL HEALTH SERVICES OF ARIZONA, INC is a mental health (including community mental health center) clinic center in Sierra Vista, AZ. TELECARE MENTAL HEALTH SERVICES OF ARIZONA, INC NPI is 1073918470. The provider is registered as an organization entity type.
The provider Other Name Is Telecare Sierra Vista Act.

The provider's business location address is:

75 N GARDEN AVE
SIERRA VISTA, AZ
ZIP 85635-805
Phone: (520) 459-9929
Fax: (520) 459-8152

The provider's authorized official is Marshall Langfeld .
The authorized official title is Svp, Cfo and has the following contact phone number (510) 337-7950.

The enumeration date for this NPI number is 10/28/2014 and was last updated on 4/1/2015.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	OTC6995	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	987017	MEDICAID	ARIZONA

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: 11/14/2023

NPI Synchronization or Removal

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