PARKER COMMUNITY SENIOR CENTER NPI 1093315129

NPI Information

NPI: 1093315129
Provider Name: PARKER COMMUNITY SENIOR CENTER
Classification: Meals - 174200000X
Entity Type: Organization
Address:
1115 W 12TH ST
PARKER, AZ
ZIP 85344
Phone: (928) 669-9514
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PARKER COMMUNITY SENIOR CENTER is a meals in Parker, AZ. The provider is a public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home. PARKER COMMUNITY SENIOR CENTER NPI is 1093315129. The provider is registered as an organization entity type.

The provider's business location address is:

1115 W 12TH ST
PARKER, AZ
ZIP 85344-711
Phone: (928) 669-9514
Fax: (928) 669-0179

The provider's authorized official is Darla K Tilley .
The authorized official title is Director and has the following contact phone number (928) 669-9514.

The enumeration date for this NPI number is 10/28/2020 and was last updated on 10/28/2020.

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	174200000X	Meals				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	952590	OTHER	ARIZONA	NUTRITION CENTER

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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