Boys & Girls Club Of Santa Cruz County, Inc.

LBN: Boys & Girls Club Of Santa Cruz County, Inc.
Boys & Girls Club Of Santa Cruz County, Inc. is an health care organization with primary practice located at 590 N Tyler Ave , Nogales AZ 85621-2300. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Boys & Girls Club Of Santa Cruz County, Inc. can be contacted via phone (520) 287-3733, or through Barden, Vicki Lee via phone (520) 287-3733.

Contact Information

Primary practice address
590 N Tyler Ave Nogales AZ 85621-2300
Fax: (520) 287-3530
Website:
Authorized official contact:
Name: Barden, Vicki Lee

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X CSA06ADHS0146 Arizona

Profile Details

NPI number 1982709150
LBN Legal business name Boys & Girls Club Of Santa Cruz County, Inc.
DBA Doing business as
Authorized official Barden, Vicki Lee
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Aug 22nd, 2020 - 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 1982709150 NPPES
Arizona Other 761793 AHCCCS

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