Harbor Health Integrated Care Clinic

LBN: Harbor Health Integrated Care Clinic
Harbor Health Integrated Care Clinic is an health care organization with primary practice located at 4805 W Thomas Rd , Phoenix AZ 85031-4050. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Harbor Health Integrated Care Clinic can be contacted via phone (602) 825-1659, or through Burgess, Wildine via phone (240) 350-2863.

Contact Information

Primary practice address
4805 W Thomas Rd Phoenix AZ 85031-4050
Phone: (602) 825-1659
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burgess, Wildine
Phone: (240) 350-2863

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1043947948
LBN Legal business name Harbor Health Integrated Care Clinic
DBA Doing business as
Authorized official Burgess, Wildine
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 2nd, 2022
Last updated Aug 2nd, 2022 - about 2 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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