Vista Springs Traditions - Tuba City

LBN: Vista Care, Llc
Vista Springs Traditions - Tuba City is an health care organization with primary practice located at 2027 N Spruce Street , Tuba City AZ 86045. 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) 283-6308, or through Balch, Brooke E via phone (256) 880-3339.

Contact Information

Primary practice address
2027 N Spruce Street Tuba City AZ 86045
Fax: (928) 283-6848
Website:
Authorized official contact:
Name: Balch, Brooke E

Health care specialties

SpecialtyCodeLicense #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 1609950815
LBN Legal business name Vista Care, Llc
DBA Doing business as Vista Springs Traditions - Tuba City
Authorized official Balch, Brooke E
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 22nd, 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 1609950815 NPPES
Arizona MEDICAID 611815

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