CODAC BEHAVIORAL HEALTH SERVICES OF PIMA COUNTY INC. NPI 1356374953

NPI Information

NPI: 1356374953
Provider Name: CODAC BEHAVIORAL HEALTH SERVICES OF PIMA COUNTY, INC.

Other Name: CODAC WEST

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1671 W GRANT RD
TUCSON, AZ
ZIP 85745
Phone: (520) 327-4505
Get Directions

CODAC BEHAVIORAL HEALTH SERVICES OF PIMA COUNTY, INC. is an adult mental health clinic center in Tucson, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CODAC BEHAVIORAL HEALTH SERVICES OF PIMA COUNTY, INC. NPI is 1356374953. The provider is registered as an organization entity type.
The provider Other Name Is Codac West.

The provider's business location address is:

1671 W GRANT RD
TUCSON, AZ
ZIP 85745-433
Phone: (520) 327-4505
Fax: (520) 202-1889

The provider's authorized official is W. Mark Clark .
The authorized official title is Ceo and has the following contact phone number (520) 327-4505.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 2/15/2008.

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	261QM0850X	Clinic/Center	Adult Mental Health	BH-2016	ARIZONA	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	590803	MEDICAID	ARIZONA
2	Z71967	MEDICARE PIN	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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