Maple Star Nevada

LBN: Maple Star Nevada
Maple Star Nevada is an health care organization with primary practice located at 620 N Craycroft Rd , Tucson AZ 85711-1448. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Maple Star Nevada can be contacted via phone (520) 747-6694, or through Hoerning, Breeann via phone (520) 747-6694.

Contact Information

Primary practice address
620 N Craycroft Rd Tucson AZ 85711-1448
Phone: (520) 747-6694
Fax: (520) 747-6613
Website:
Map and Directions
Authorized official contact:
Name: Hoerning, Breeann
Phone: (520) 747-6694

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1023159506
LBN Legal business name Maple Star Nevada
DBA Doing business as
Authorized official Hoerning, Breeann
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
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 1023159506 NPPES
Arizona MEDICAID 100508814

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