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Contact Information

INTERMOUNTAIN HEALTH CENTER, INC.
272 & 276 WEST VIEWPOINT DRIVE
NOGALES, AZ85621
 Phone: 520-281-0678
 Fax: 520-281-0678
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN HEALTH CENTER, INC.

NPI Number 1548771033
LBN Legal business name INTERMOUNTAIN HEALTH CENTER, INC.
Authorized official ROSE LOPEZ - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2017
Last updated 10/11/2024 - More than a year ago
Identifiers
AZ Medicaid 333689
AZ Other OTC8493 ADHS/BMFL LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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