Joretta Mccoy

LBN: Joretta Mccoy
Joretta Mccoy is an health care organization with primary practice located at 26855 S Coopers Hawk Rd , Amado AZ 85645-9571. The organization recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as the primary health care specialty. Joretta Mccoy can be contacted via phone (520) 398-3311, or through Mccoy, Joretta via phone (520) 398-3311.

Contact Information

Primary practice address
26855 S Coopers Hawk Rd Amado AZ 85645-9571
Phone: (520) 398-3311
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccoy, Joretta
Phone: (520) 398-3311

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 10964 Arizona

Profile Details

NPI number 1508961657
LBN Legal business name Joretta Mccoy
DBA Doing business as
Authorized official Mccoy, Joretta
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1508961657 NPPES
Arizona MEDICAID 041438

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