Harrison994

LBN: Intermountain Centers For Human Development Inc.
Harrison994 is an health care organization with primary practice located at 994 S Harrison Rd , Tucson AZ 85748-6608. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Intermountain Centers For Human Development Inc. can be contacted via phone (520) 721-1887, or through Lopez, Rose Mary via phone (520) 721-1887.

Contact Information

Primary practice address
994 S Harrison Rd Tucson AZ 85748-6608
Phone: (520) 721-1887
Fax: (520) 721-0069
Website:
Map and Directions
Authorized official contact:
Name: Lopez, Rose Mary MBA
Phone: (520) 721-1887

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X BH3355 Arizona

Profile Details

NPI number 1083846661
LBN Legal business name Intermountain Centers For Human Development Inc.
DBA Doing business as Harrison994
Authorized official Lopez, Rose Mary MBA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2009
Last updated Oct 9th, 2020 - about 6 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 1083846661 NPPES
Arizona Other OTC5916 STATE LICENSE
Arizona MEDICAID 451145 STATE LICENSE

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