WEENDURE INC. NPI 1093430795

NPI Information

NPI: 1093430795
Provider Name: WEENDURE, INC.
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
3621 N TALL PINE LN
PINE, AZ
ZIP 85544
Phone: (760) 289-2153
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WEENDURE, INC. is a voluntary or charitable in Pine, AZ. WEENDURE, INC. NPI is 1093430795. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3621 N TALL PINE LN
PINE, AZ
ZIP 85544-767
Phone: (760) 289-2153

The provider's authorized official is Austin Cole Egnew .
The authorized official title is Ceo and has the following contact phone number (760) 289-2153.

The enumeration date for this NPI number is 10/5/2022 and was last updated on 10/5/2022.

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	Primary
1	106S00000X	Behavior Technician	No
2	171M00000X	Case Manager/Care Coordinator	No
3	175T00000X	Peer Specialist	No
4	251300000X	Local Education Agency (LEA)	No
5	251S00000X	Community/Behavioral Health	No
6	372600000X	Adult Companion	No
7	405300000X	Prevention Professional	No
8	251V00000X	Voluntary or Charitable	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	1013557149	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: 4/28/2024

NPI Synchronization or Removal

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