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Contact Information

PROSPER INTEGRATED HEALTH CARE
10750 W MCDOWELL RD STE C305
AVONDALE, AZ85392-5964
 Phone: 623-755-5679
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

261QH0100X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for PROSPER INTEGRATED HEALTH CARE

NPI Number 1629659578
LBN Legal business name PROSPER INTEGRATED HEALTH CARE
Authorized official ELONDA WILSON - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2021
Last updated 11/06/2023 - About 3 years ago
Identifiers n/a
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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