GRACE BEHAVIORAL HEALTH, LLC; NPI #1063683100

Contact Information

GRACE BEHAVIORAL HEALTH, LLC

2336 E MAGNOLIA ST
PHOENIX, AZ 85034-6819

Phone: 602-231-0102
Fax: 602-231-0015
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Ambulance	341600000X	59	Ambulance Service Provider
Emergency Medical Technician, Basic	146N00000X
Non-emergency Medical Transport (VAN)	343900000X
Transportation Broker	347E00000X

Indicates primary specialty

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NPI Profile & details for GRACE BEHAVIORAL HEALTH, LLC

NPI Number 1063683100

LBN Legal business name GRACE BEHAVIORAL HEALTH, LLC

Authorized official CYNTHIA CROSS - (VICE PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/17/2008

Last updated 03/17/2008 - About 18 years ago

Identifiers

Medicaid

971764

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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