Codac West

LBN: Codac Behavioral Health Services Of Pima County, Inc.
Codac West is an health care organization with primary practice located at 1671 W Grant Rd , Tucson AZ 85745-1433. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Codac Behavioral Health Services Of Pima County, Inc. can be contacted via phone (520) 327-4505, or through Clark, W. Mark via phone (520) 327-4505.

Contact Information

Primary practice address
1671 W Grant Rd Tucson AZ 85745-1433
Phone: (520) 327-4505
Fax: (520) 202-1889
Website:
Map and Directions
Authorized official contact:
Name: Clark, W. Mark
Phone: (520) 327-4505

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X BH-2016 Arizona

Profile Details

NPI number 1356374953
LBN Legal business name Codac Behavioral Health Services Of Pima County, Inc.
DBA Doing business as Codac West
Authorized official Clark, W. Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Feb 15th, 2008 - about 17 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 1356374953 NPPES
Arizona MEDICAID 590803

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