Adhc - South Mountain

LBN: Fsl Programs
Adhc - South Mountain is an health care organization with primary practice located at 6520 S Central Ave , Phoenix AZ 85042-4240. The organization recently has only one registered license in Respite Care Facility / Respite Care, which is considered as the primary health care specialty. Fsl Programs can be contacted via phone (602) 304-0355, or through Iniguez, Annette via phone (602) 285-0505.

Contact Information

Primary practice address
6520 S Central Ave Phoenix AZ 85042-4240
Phone: (602) 304-0355
Fax: (602) 276-4938
Website:
Map and Directions
Authorized official contact:
Name: Iniguez, Annette
Phone: (602) 285-0505

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care 385H00000X ADHC-039 Arizona

Profile Details

NPI number 1033274030
LBN Legal business name Fsl Programs
DBA Doing business as Adhc - South Mountain
Authorized official Iniguez, Annette
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033274030 NPPES
Arizona Other BH-1038 ADHS BEHAVIORAL
Arizona Other ADHC-039 ADHS BEHAVIORAL
Arizona MEDICAID 572405 ADHS BEHAVIORAL

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