St Johns Concho Senior Citizens Assoc

LBN: St Johns Concho Senior Citizens Assoc
St Johns Concho Senior Citizens Assoc is an health care organization with primary practice located at 395 South First West St St Johns Concho Senior Citizens Assoc, St Johns AZ 85936-0887. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. St Johns Concho Senior Citizens Assoc can be contacted via phone (928) 337-2144, or through Clanton, Betty Jo via phone (928) 337-2144.

Contact Information

Primary practice address
395 South First West St St Johns Concho Senior Citizens Assoc St Johns AZ 85936-0887
Phone: (928) 337-2144
Fax: (928) 337-2581
Website:
Map and Directions
Authorized official contact:
Name: Clanton, Betty Jo MEMBER OF SENIOR BRD
Phone: (928) 337-2144

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X P0496 Arizona

Profile Details

NPI number 1093986499
LBN Legal business name St Johns Concho Senior Citizens Assoc
DBA Doing business as
Authorized official Clanton, Betty Jo MEMBER OF SENIOR BRD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2008
Last updated Mar 13th, 2008 - about 18 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 1093986499 NPPES
Other 351560 AHCCCS

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