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Contact Information

HIGH COUNTRY EARLY INTERVENTION INC
3105 CLEARWATER DR
SUITE B
PRESCOTT, AZ86305-7166
 Phone: 928-776-9285
 Fax: 928-776-7753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Case Management

251B00000X
 

Developmental Disabilities

261QD1600X
 

Early Intervention Provider Agency

252Y00000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physical Therapy

261QP2000X
 

Specialist

174400000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for HIGH COUNTRY EARLY INTERVENTION INC

NPI Number 1144332107
LBN Legal business name HIGH COUNTRY EARLY INTERVENTION INC
Authorized official ANNA MANCHA - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 10/08/2019 - About 7 years ago
Identifiers
AZ License # 3724
AZ License # 4192
AZ License # 5331
AZ Medicaid 940454
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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