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CATHOLIC COMMUNITY SERVICES IN SOUTHERN ARIZONA NPI 1508838517


NPI Information

NPI: 1508838517
Provider Name: CATHOLIC COMMUNITY SERVICES IN SOUTHERN ARIZONA

Doing Business As: CATHOLIC COMMUNITY SERVICES IN SOUTHEASTERN ARIZONA HOME HEALTH PROGRA

Classification: Registered Nurse - 163WH0200X
Entity Type: Organization

Specialization: Home Health

Address:
#19 HOWELL AVENUE
BISBEE, AZ
ZIP 85603
Phone: (520) 432-2285
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CATHOLIC COMMUNITY SERVICES IN SOUTHERN ARIZONA is a home health registered nurse in Bisbee, AZ. CATHOLIC COMMUNITY SERVICES IN SOUTHERN ARIZONA NPI is 1508838517. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Catholic Community Services In Southeastern Arizona Home Health Progra.

The provider's business location address is:

#19 HOWELL AVENUE
BISBEE, AZ
ZIP 85603
Phone: (520) 432-2285
Fax: (520) 432-2009

The provider's authorized official is Radi Ann Porter .
The authorized official title is Director Home Health Program and has the following contact phone number (520) 432-2285.

The enumeration date for this NPI number is 2/3/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WH0200XRegistered NurseHome HealthHHA0112Yes

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
1652190MEDICAIDARIZONA

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.