Gila Bend Clinic Professional Services
LBN: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Gila Bend Clinic Professional Services is an health care organization with primary practice located at 100 North Gila Boulevard , Gila Bend AZ 85227-2658. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm can be contacted via phone (602) 263-1200, or through Dick, Deanna J. via phone (602) 263-1567.
Contact Information
Primary practice address
100 North Gila Boulevard
Gila Bend AZ 85227-2658
Phone: (602) 263-1200
Fax: (602) 263-1618
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ||
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X |
Profile Details
NPI number | 1831245661 |
---|---|
LBN Legal business name | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm |
DBA Doing business as | Gila Bend Clinic Professional Services |
Authorized official | Dick, Deanna J. MSW., MHA. |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Jan 26th, 2007 |
Last updated | Jun 19th, 2019 - about 6 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 | 1831245661 | NPPES |
Arizona | MEDICAID | 812851 |
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