ABRA HEALTH LLC NPI 1699530485

NPI Information

NPI: 1699530485
Provider Name: ABRA HEALTH LLC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1401 E JEFFERSON ST
PHOENIX, AZ
ZIP 85034
Phone: (602) 492-1875
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ABRA HEALTH LLC is a community health clinic center in Phoenix, AZ. ABRA HEALTH LLC NPI is 1699530485. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1401 E JEFFERSON ST
PHOENIX, AZ
ZIP 85034-315
Phone: (602) 492-1875

The provider's authorized official is Da'mond O Gadson .
The authorized official title is President and has the following contact phone number (602) 518-0214.

The enumeration date for this NPI number is 2/20/2024 and was last updated on 2/20/2024.

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	Primary
1	101Y00000X	Counselor		No
2	101YP2500X	Counselor	Professional	No
3	251C00000X	Day Training, Developmentally Disabled Services		No
4	251K00000X	Public Health or Welfare		No
5	251S00000X	Community/Behavioral Health		No
6	261QH0100X	Clinic/Center	Health Service	No
7	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	No
8	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No
9	261QC1500X	Clinic/Center	Community Health	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: 5/5/2024

NPI Synchronization or Removal

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