Pasadera Walk-In Clinic (Samhc)
LBN: Pasadera Behavioral Health Network, Inc.
Pasadera Walk-In Clinic (Samhc) is an health care organization with primary practice located at 2502 N. Dodge Blvd. Suite 190, Tucson AZ 85716-2675. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Pasadera Behavioral Health Network, Inc. can be contacted via phone (520) 618-8600, or through Oliver, Stephanie via phone (520) 628-3400.
Contact Information
Primary practice address
2502 N. Dodge Blvd. Suite 190
Tucson AZ 85716-2675
Phone: (520) 618-8600
Fax: (520) 617-1608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | OTC6597 | Arizona |
Profile Details
| NPI number | 1053524348 |
|---|---|
| LBN Legal business name | Pasadera Behavioral Health Network, Inc. |
| DBA Doing business as | Pasadera Walk-In Clinic (Samhc) |
| Authorized official | Oliver, Stephanie CPC, RMM, ICD10CT-CM |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Mar 8th, 2016 - about 10 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 | 1053524348 | NPPES |
| Arizona | Other | OTC6597 | STATE LICENSE |
| Arizona | MEDICAID | 848952 | STATE LICENSE |
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