Empact-Suicide Prevention Center

LBN: Empact-Suicide Prevention Center
Empact-Suicide Prevention Center is an health care organization with primary practice located at 618 S. Madison Drive , Tempe AZ 85281-7248. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Multi-Specialty. Agencies / Community/Behavioral Health is the primary health care specialty. Empact-Suicide Prevention Center can be contacted via phone (480) 784-1514, or through Montano, Liz via phone (480) 784-1514.

Contact Information

Primary practice address
618 S. Madison Drive Tempe AZ 85281-7248
Fax: (480) 967-3528
Website:
Authorized official contact:
Name: Montano, Liz

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X BH 373 Arizona
Agencies / Community/Behavioral Health 251S00000X BH-4062 Arizona
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1609071646
LBN Legal business name Empact-Suicide Prevention Center
DBA Doing business as
Authorized official Montano, Liz
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2007
Last updated Feb 23rd, 2021 - about 3 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 1609071646 NPPES
Arizona MEDICAID 971673

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