Intermountain Centers
LBN: Intermountain Centers For Human Development
Intermountain Centers is an health care organization with primary practice located at 401 N Bonita Ave , Tucson AZ 85709-5001. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Community Health. Ambulatory Health Care Facilities / Community Health is the primary health care specialty.
Intermountain Centers For Human Development can be contacted via phone (520) 571-6466, or through Lopez, Rose Mary via phone (520) 721-1887.
Contact Information
Primary practice address
401 N Bonita Ave
Tucson AZ 85709-5001
Phone: (520) 571-6466
Fax: (520) 721-0069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Community Health | 261QC1500X |
Profile Details
| NPI number | 1861042012 |
|---|---|
| LBN Legal business name | Intermountain Centers For Human Development |
| DBA Doing business as | Intermountain Centers |
| Authorized official | Lopez, Rose Mary MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 18th, 2019 |
| Last updated | Apr 29th, 2020 - 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 | 1861042012 | NPPES |
| Arizona | Other | OTC9948 | ADHS/BMFL LICENSE |
| Arizona | MEDICAID | 146445 | ADHS/BMFL LICENSE |
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