Crossroads Midtown Sabg

LBN: Crossroads Midtown Sabg
Crossroads Midtown Sabg is an health care organization with primary practice located at 3702 N 13Th Ave , Phoenix AZ 85013-3677. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Crossroads Midtown Sabg can be contacted via phone (602) 266-8400, or through House, John via phone (602) 266-8400.

Contact Information

Primary practice address
3702 N 13Th Ave Phoenix AZ 85013-3677
Phone: (602) 266-8400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: House, John
Phone: (602) 266-8400

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Arizona

Profile Details

NPI number 1700309879
LBN Legal business name Crossroads Midtown Sabg
DBA Doing business as
Authorized official House, John
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 20th, 2017
Last updated Dec 27th, 2023 - about last year

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 1700309879 NPPES
Arizona MEDICAID 870925

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