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INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC. NPI 1336696657


NPI Information

NPI: 1336696657
Provider Name: INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC.

Other Name: NOGALES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 03D2299137

Address:
276 WEST VIEW POINT DRIVE
NOGALES, AZ
ZIP 85621
Phone: (520) 281-0678
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INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC. is a community behavioral health in Nogales, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC. NPI is 1336696657. The provider is registered as an organization entity type.
The provider Other Name Is Nogales.

The provider's business location address is:

276 WEST VIEW POINT DRIVE
NOGALES, AZ
ZIP 85621
Phone: (520) 281-0678
Fax: (520) 281-0772

The provider's authorized official is Rose Lopez .
The authorized official title is Ceo and has the following contact phone number (520) 721-1887.

The CLIA number assigned to this NPI record is 03D2299137 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2016 and was last updated on 10/9/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthOTC7773ARIZONAYes

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
1185236MEDICAIDARIZONA
2OTC7773OTHERARIZONAADHS/BMFL LICENSE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.