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Contact Information

TERROS, INC.
6151-6153 W OLIVE AVE
GLENDALE, AZ85302-4598
 Phone: 602-685-6000
 Fax: 623-937-2589
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for TERROS, INC.

NPI Number 1699173245
LBN Legal business name TERROS, INC.
Authorized official KAREN HOFFMAN TEPPER - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/15/2014
Last updated 06/03/2022 - About 4 years ago
Identifiers
AZ License # LAL000166
AZ License # OTC-5659
AZ Medicaid 011432
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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