VISTA CARE LLC NPI 1366529414

NPI Information

NPI: 1366529414
Provider Name: VISTA CARE, LLC

Other Name: VISTA SPRINGS TRADITIONS - CHINLE

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

Specialization: Adult Mental Health

Address:
NAVAJO ROUTE 7
WESTSIDE PRESBYTERIAN CHURCH
CHINLE, AZ
ZIP 86503
Phone: (928) 674-3818
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VISTA CARE, LLC is an adult mental health clinic center in Chinle, 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. VISTA CARE, LLC NPI is 1366529414. The provider is registered as an organization entity type.
The provider Other Name Is Vista Springs Traditions - Chinle.

The provider's business location address is:

NAVAJO ROUTE 7
WESTSIDE PRESBYTERIAN CHURCH
CHINLE, AZ
ZIP 86503
Phone: (928) 674-3818
Fax: (928) 674-5814

The provider's authorized official is Brooke E Balch .
The authorized official title is Cfo Of Three Springs Inc. and has the following contact phone number (256) 880-3339.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	NAVAJO NATION WAIVER	ARIZONA	Yes
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	NAVAJO NATION WAIVER	ARIZONA	X

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	611807	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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