DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM; NPI #1205859618

Contact Information

DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM

2121 WEST RESERVATION LOOP ROAD
CAMP VERDE, AZ 86322

Phone: 602-263-1200
Fax: 602-263-1618
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health or Welfare	251K00000X	60	Public Health or Welfare Agency

Indicates primary specialty

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NPI Profile & details for DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM

NPI # 1205859618

LBN Legal business name DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM

Authorized official LAURA TILLMAN - (CMO)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/26/2006

Last updated 05/26/2021 - About 5 years ago

Identifiers

Medicaid

812869

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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DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM

Contact Information

Specialty

Public Health or Welfare

NPI Profile & details for DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM

Reviews for DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM