Holbrook Senior Center

LBN: Holbrook Senior Citizens Association
Holbrook Senior Center is an health care organization with primary practice located at 216 Joy Nevin Ave , Holbrook AZ 86025-2924. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty. Holbrook Senior Citizens Association can be contacted via phone (928) 524-6044, or through Gabaldon, Carla Ann via phone (928) 524-6044.

Contact Information

Primary practice address
216 Joy Nevin Ave Holbrook AZ 86025-2924
Phone: (928) 524-6044
Fax: (928) 524-3603
Website:
Map and Directions
Authorized official contact:
Name: Gabaldon, Carla Ann
Phone: (928) 524-6044

Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X Arizona

Profile Details

NPI number 1730224379
LBN Legal business name Holbrook Senior Citizens Association
DBA Doing business as Holbrook Senior Center
Authorized official Gabaldon, Carla Ann
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
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 1730224379 NPPES
Arizona Other 111261 AHCCCS

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