Intermountain Health Center Inc

LBN: Intermountain Health Center Inc
Intermountain Health Center Inc is an health care organization with primary practice located at 5055 E Broadway Blvd Ste C104 , Tucson AZ 85711-3641. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Intermountain Health Center Inc can be contacted via phone (520) 628-9833, or through Lopez, Rose Mary via phone (520) 721-1887.

Contact Information

Primary practice address
5055 E Broadway Blvd Ste C104 Tucson AZ 85711-3641
Phone: (520) 628-9833
Fax: (520) 623-9083
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
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1609245273
LBN Legal business name Intermountain Health Center Inc
DBA Doing business as
Authorized official Lopez, Rose Mary MBA
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 24th, 2015
Last updated Feb 29th, 2024 - 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 1609245273 NPPES
Arizona Other OTC7779 ADHS/BMFL LICENSE
Arizona MEDICAID 198509 ADHS/BMFL LICENSE

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