Desert Palm Mat
LBN: Community Partners Integrated Healthcare, Inc.
Desert Palm Mat is an health care organization with primary practice located at 1021 E Palmdale St Ste 130 , Tucson AZ 85714-1859. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Methadone is the primary health care specialty.
Community Partners Integrated Healthcare, Inc. can be contacted via phone (520) 407-5353, or through Lopez, Rose Mary via phone (520) 721-1887.
Contact Information
Primary practice address
1021 E Palmdale St Ste 130
Tucson AZ 85714-1859
Phone: (520) 407-5353
Fax: (520) 318-6917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | PENDING | Arizona |
Profile Details
| NPI number | 1457841678 |
|---|---|
| LBN Legal business name | Community Partners Integrated Healthcare, Inc. |
| DBA Doing business as | Desert Palm Mat |
| Authorized official | Lopez, Rose Mary MBA |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 14th, 2018 |
| Last updated | Apr 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457841678 | NPPES |
| Arizona | Other | OTC9751 | ADHS-BMFL |
| Arizona | MEDICAID | 554498 | ADHS-BMFL |
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