Merilac Lodge

LBN: Catholic Community Services Of Southern Arizona
Merilac Lodge is an health care organization with primary practice located at 140 W Speedway Blvd Suite 130, Tucson AZ 85705-7686. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Custodial Care Facility, which is considered as the primary health care specialty. Catholic Community Services Of Southern Arizona can be contacted via phone (520) 623-0344, or through Bogosoff, Mary Anne via phone (520) 770-8517.

Contact Information

Primary practice address
140 W Speedway Blvd Suite 130 Tucson AZ 85705-7686
Phone: (520) 623-0344
Fax: (520) 770-8578
Website:
Map and Directions
Authorized official contact:
Name: Bogosoff, Mary Anne
Phone: (520) 770-8517

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X BH914 Arizona

Profile Details

NPI number 1316263643
LBN Legal business name Catholic Community Services Of Southern Arizona
DBA Doing business as Merilac Lodge
Authorized official Bogosoff, Mary Anne
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 12th, 2010
Last updated Apr 12th, 2010 - about 14 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 1316263643 NPPES
Arizona Other 588973 AHCCS

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