Terra Medical Of Arizona Llc

LBN: Terra Medical Of Arizona Llc
Terra Medical Of Arizona Llc is an health care organization with primary practice located at 1297 E Avenida Kino , Casa Grande AZ 85122-1011. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Transportation Services / Non-emergency Medical Transport (VAN). Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Terra Medical Of Arizona Llc can be contacted via phone (520) 709-1586, or through Appleton, Russell via phone (602) 618-3756.

Contact Information

Primary practice address
1297 E Avenida Kino Casa Grande AZ 85122-1011
Phone: (520) 709-1586
Fax: (602) 235-0405
Website:
Map and Directions
Authorized official contact:
Name: Appleton, Russell
Phone: (602) 618-3756

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1649014077
LBN Legal business name Terra Medical Of Arizona Llc
DBA Doing business as
Authorized official Appleton, Russell
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2024
Last updated Jun 20th, 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 1649014077 NPPES
Arizona Other BH10111 FACILITY LICENSE
Arizona Other BH6760 FACILITY LICENSE
Arizona Other BH10112 FACILITY LICENSE

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