GILA RIVER HEALTH CARE CORPORATION NPI 1568850329

NPI Information

NPI: 1568850329
Provider Name: GILA RIVER HEALTH CARE CORPORATION

Doing Business As: GILA RIVER HEALTH CARE SMI GROUP HOME

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
142226 S 53RD AVE
LAVEEN, AZ
ZIP 85339
Phone: (602) 528-1200
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GILA RIVER HEALTH CARE CORPORATION is a community based residential treatment facility mental illness in Laveen, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. GILA RIVER HEALTH CARE CORPORATION NPI is 1568850329. The provider is registered as an organization entity type.
The provider Is Doing Business As Gila River Health Care Smi Group Home.

The provider's business location address is:

142226 S 53RD AVE
LAVEEN, AZ
ZIP 85339
Phone: (602) 528-1200

The provider's authorized official is Steve H Willis .
The authorized official title is Interim Director and has the following contact phone number (602) 528-1200.

The enumeration date for this NPI number is 1/2/2015 and was last updated on 1/2/2015.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

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

NPI Synchronization or Removal

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