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Contact Information

CHICANOS POR LA CAUSA, INC.
4443 E. BROADWAY
CLAYPOOL, AZ85532
 Phone: 928-425-9244
 Fax: 928-425-9249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for CHICANOS POR LA CAUSA, INC.

NPI Number 1679757553
LBN Legal business name CHICANOS POR LA CAUSA, INC.
Authorized official EDMUNDO HIDALGO - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/27/2007
Last updated 03/17/2011 - About 15 years ago
Identifiers
AZ License # BH-2823
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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