National Provider Identifier Database

ARIZONA TRAINING PROGRAM COOLIDGE
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

ARIZONA TRAINING PROGRAM @ COOLIDGE
2800 N. HIGHWAY 87
COOLIDGE, AZ85228
Phone: 520-723-4151
Fax:
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for ARIZONA TRAINING PROGRAM @ COOLIDGE

NPI Number 1467606814
Legal business name
LBN
ARIZONA TRAINING PROGRAM @ COOLIDGE
Authorized official ZANE GARCIA RAMADAN - (ASSISTANT DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 11/12/2008
Last updated 07/03/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 041955

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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