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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609245273 | NPPES |
| Arizona | Other | OTC7779 | ADHS/BMFL LICENSE |
| Arizona | MEDICAID | 198509 | ADHS/BMFL LICENSE |
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