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CHANGEPOINT INTEGRATED HEALTH NPI 1184975500


NPI Information

NPI: 1184975500
Provider Name: CHANGEPOINT INTEGRATED HEALTH

Former Legal Business Name: COMMUNITY COUNSELING CENTERS INC

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
423 S MAIN ST
SNOWFLAKE, AZ
ZIP 85937
Phone: (928) 537-2951
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CHANGEPOINT INTEGRATED HEALTH is a mental health (including community mental health center) clinic center in Snowflake, AZ. CHANGEPOINT INTEGRATED HEALTH NPI is 1184975500. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Community Counseling Centers Inc.

The provider's business location address is:

423 S MAIN ST
SNOWFLAKE, AZ
ZIP 85937-247
Phone: (928) 537-2951
Fax: (928) 892-5828

The provider's authorized official is Jeffrey Oakes .
The authorized official title is Chief Executive Officer and has the following contact phone number (928) 537-2951.

The enumeration date for this NPI number is 9/25/2012 and was last updated on 12/9/2016.


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)OTC6040ARIZONAYes

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
1740227MEDICAIDARIZONA

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

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