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LA FRONTERA CENTER INC. NPI 1093810889


NPI Information

NPI: 1093810889
Provider Name: LA FRONTERA CENTER, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
502 W 29TH ST
TUCSON, AZ
ZIP 85713
Phone: (520) 884-9920
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LA FRONTERA CENTER, INC. is a mental health (including community mental health center) clinic center in Tucson, AZ. LA FRONTERA CENTER, INC. NPI is 1093810889. The provider is registered as an organization entity type.

The provider's business location address is:

502 W 29TH ST
TUCSON, AZ
ZIP 85713-394
Phone: (520) 884-9920
Fax: (520) 792-0654

The provider's authorized official is Kathy Wells .
The authorized official title is Coo and has the following contact phone number (520) 838-5501.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 10/2/2007.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)BH-102ARIZONAYes

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
1ZWCFGLMEDICARE ID-TYPE UNSPECIFIEDARIZONA
2069139MEDICAIDARIZONA

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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