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DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM NPI 1831245661


NPI Information

NPI: 1831245661
Provider Name: DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM

Doing Business As: GILA BEND CLINIC PROFESSIONAL SERVICES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
100 NORTH GILA BOULEVARD
GILA BEND, AZ
ZIP 85227
Phone: (602) 263-1200
Get Directions

DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM is a family medicine in Gila Bend, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM NPI is 1831245661. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gila Bend Clinic Professional Services.

The provider's business location address is:

100 NORTH GILA BOULEVARD
GILA BEND, AZ
ZIP 85227-658
Phone: (602) 263-1200
Fax: (602) 263-1618

The provider's authorized official is Deanna J. Dick .
The authorized official title is (ceo) Chief Executive Officer and has the following contact phone number (602) 263-1567.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 6/19/2019.


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
1103T00000XPsychologistNo
21041C0700XSocial WorkerClinicalNo
3133V00000XDietitian, RegisteredNo
4367A00000XAdvanced Practice MidwifeNo
5207Q00000XFamily MedicineYes

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
1812851MEDICAIDARIZONA

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

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