Vista Springs Traditions - Chinle
LBN: Vista Care, Llc
Vista Springs Traditions - Chinle is an health care organization with primary practice located at Navajo Route 7 Westside Presbyterian Church, Chinle AZ 86503. 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) 674-3818, or through Balch, Brooke E via phone (256) 880-3339.
Contact Information
Primary practice address
Navajo Route 7 Westside Presbyterian Church
Chinle AZ 86503
Phone: (928) 674-3818
Fax: (928) 674-5814
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 | 1366529414 |
---|---|
LBN Legal business name | Vista Care, Llc |
DBA Doing business as | Vista Springs Traditions - Chinle |
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 | 1366529414 | NPPES |
Arizona | MEDICAID | 611807 |
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