Extension Sabg

LBN: Crossroads Extension
Extension Sabg is an health care organization with primary practice located at 244 N Extension Rd , Mesa AZ 85201-6300. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Crossroads Extension can be contacted via phone (602) 263-5242, or through Riley, Chris via phone (602) 263-5242.

Contact Information

Primary practice address
244 N Extension Rd Mesa AZ 85201-6300
Phone: (602) 263-5242
Fax: (602) 595-4434
Website:
Map and Directions
Authorized official contact:
Name: Riley, Chris
Phone: (602) 263-5242

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X BH-5467 Arizona

Profile Details

NPI number 1184102709
LBN Legal business name Crossroads Extension
DBA Doing business as Extension Sabg
Authorized official Riley, Chris
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 6th, 2018
Last updated Dec 27th, 2023 - about 2 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 1184102709 NPPES
Arizona MEDICAID 397764

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