Community Intervention Associates

LBN: Community Intervention Associates, Inc.
Community Intervention Associates is an health care organization with primary practice located at 1516 Ocotillo Avenue , Parker AZ 85344-0000. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Community Intervention Associates, Inc. can be contacted via phone (928) 669-5319, or through Cogburn, Fred R via phone (928) 376-0026.

Contact Information

Primary practice address
1516 Ocotillo Avenue Parker AZ 85344-0000
Phone: (928) 669-5319
Fax: (928) 669-5368
Website:
Map and Directions
Authorized official contact:
Name: Cogburn, Fred R
Phone: (928) 376-0026

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X BH3488 Arizona
Agencies / Community/Behavioral Health 251S00000X BH-3994 Arizona

Profile Details

NPI number 1255663423
LBN Legal business name Community Intervention Associates, Inc.
DBA Doing business as Community Intervention Associates
Authorized official Cogburn, Fred R
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 12th, 2010
Last updated Aug 28th, 2013 - about 12 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 1255663423 NPPES
Arizona MEDICAID 750372

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