Bannon Springs Ranch Christain Health Care

LBN: Bannon Springs Ranch Christain Health Care
Bannon Springs Ranch Christain Health Care is an health care organization with primary practice located at Lot 20 County Rd #3398 , Vernon AZ 85940. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Bannon Springs Ranch Christain Health Care can be contacted via phone (928) 532-0206, or through Wilson, Audrey via phone (928) 532-0206.

Contact Information

Primary practice address
Lot 20 County Rd #3398 Vernon AZ 85940
Phone: (928) 532-0206
Fax: (877) 311-9315
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Audrey
Phone: (928) 532-0206

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALC-5813 Arizona

Profile Details

NPI number 1487781902
LBN Legal business name Bannon Springs Ranch Christain Health Care
DBA Doing business as
Authorized official Wilson, Audrey
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1487781902 NPPES
Arizona MEDICAID 643529
Arizona MEDICAID 614538
Arizona MEDICAID 045320

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