Salt River Facility

LBN: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm.
Salt River Facility is an health care organization with primary practice located at 10005 E Osborn Rd , Scottsdale AZ 85256-4019. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. can be contacted via phone (602) 263-1200, or through Tillman, Laura A via phone (602) 263-1674.

Contact Information

Primary practice address
10005 E Osborn Rd Scottsdale AZ 85256-4019
Phone: (602) 263-1200
Fax: (602) 263-1618
Website:
Map and Directions
Authorized official contact:
Name: Tillman, Laura A Doctor of Medicine (MD)
Phone: (602) 263-1674

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1093739740
LBN Legal business name Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm.
DBA Doing business as Salt River Facility
Authorized official Tillman, Laura A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2006
Last updated May 26th, 2021 - 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 1093739740 NPPES
Arizona MEDICAID 092453
Arizona Other P0109880

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