Casa Grande

LBN: Intermountain Centers For Human Development Inc.
Casa Grande is an health care organization with primary practice located at 1821 N Trekell Rd Ste 1 , Casa Grande AZ 85122-1705. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Intermountain Centers For Human Development Inc. can be contacted via phone (520) 426-4289, or through Lopez, Rose via phone (520) 721-1887.

Contact Information

Primary practice address
1821 N Trekell Rd Ste 1 Casa Grande AZ 85122-1705
Phone: (520) 426-4289
Fax: (520) 421-0792
Website:
Map and Directions
Authorized official contact:
Name: Lopez, Rose MBA
Phone: (520) 721-1887

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X OTC7774 Arizona

Profile Details

NPI number 1659827707
LBN Legal business name Intermountain Centers For Human Development Inc.
DBA Doing business as Casa Grande
Authorized official Lopez, Rose MBA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2016
Last updated Oct 9th, 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 1659827707 NPPES
Arizona MEDICAID 202452
Arizona Other OTC7774

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