Arizona Rehab Campus, Llc

LBN: Arizona Rehab Campus, Llc
Arizona Rehab Campus, Llc is an health care organization with primary practice located at 6944 E Tanque Verde Rd , Tucson AZ 85715. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Special Hospital, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Hospitals / Special Hospital is the primary health care specialty. Arizona Rehab Campus, Llc can be contacted via phone (844) 272-5608, or through Williams, Nicole via phone (520) 526-1028.

Contact Information

Primary practice address
6944 E Tanque Verde Rd Tucson AZ 85715
Fax:
Website:
Authorized official contact:
Name: Williams, Nicole

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Special Hospital 284300000X IFBH8264 Arizona
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X IFBH8264 Arizona

Profile Details

NPI number 1104373364
LBN Legal business name Arizona Rehab Campus, Llc
DBA Doing business as
Authorized official Williams, Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2016
Last updated Apr 4th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104373364 NPPES
Arizona MEDICAID 251258

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