Catholic Community Services In Southeastern Arizona Home Health Progra

LBN: Catholic Community Services In Southern Arizona
Catholic Community Services In Southeastern Arizona Home Health Progra is an health care organization with primary practice located at #19 Howell Avenue , Bisbee AZ 85603. The organization recently has only one registered license in Nursing Service Providers / Home Health, which is considered as the primary health care specialty. Catholic Community Services In Southern Arizona can be contacted via phone (520) 432-2285, or through Porter, Radi Ann via phone (520) 432-2285.

Contact Information

Primary practice address
#19 Howell Avenue Bisbee AZ 85603
Fax: (520) 432-2009
Website:
Authorized official contact:
Name: Porter, Radi Ann Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X HHA0112

Profile Details

NPI number 1508838517
LBN Legal business name Catholic Community Services In Southern Arizona
DBA Doing business as Catholic Community Services In Southeastern Arizona Home Health Progra
Authorized official Porter, Radi Ann Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2006
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 1508838517 NPPES
Arizona MEDICAID 652190

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