Vista Springs Traditions - St. Michaels
LBN: Vista Care, Llc
Vista Springs Traditions - St. Michaels is an health care organization with primary practice located at Hwy 254 - 1 Mile Se From Chapter House Westside - Pink Bldg/Gray Top, St. Michaels AZ 86511. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Vista Care, Llc can be contacted via phone (928) 810-3707, or through Balch, Brooke E via phone (256) 880-3339.
Contact Information
Primary practice address
Hwy 254 - 1 Mile Se From Chapter House Westside - Pink Bldg/Gray Top
St. Michaels AZ 86511
Phone: (928) 810-3707
Fax: (928) 810-3713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | NAVAJO NATION WAIVER | Arizona |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | NAVAJO NATION WAIVER | Arizona |
Profile Details
| NPI number | 1326125402 |
|---|---|
| LBN Legal business name | Vista Care, Llc |
| DBA Doing business as | Vista Springs Traditions - St. Michaels |
| Authorized official | Balch, Brooke E |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326125402 | NPPES |
| Arizona | MEDICAID | 688640 |
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