Sells Outpatient

LBN: Intermountain Centers For Human Development Inc.
Sells Outpatient is an health care organization with primary practice located at Bia State Rt 19 , Sells AZ 85634. 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
Bia State Rt 19 Sells AZ 85634
Phone: (520) 721-1887
Fax: (520) 407-5397
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

Profile Details

NPI number 1205164605
LBN Legal business name Intermountain Centers For Human Development Inc.
DBA Doing business as Sells Outpatient
Authorized official Lopez, Rose Mary MBA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 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 1205164605 NPPES
Arizona MEDICAID 508246
Arizona Other BH5148

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