1124107065 NPI number — CHILDHELP, INC.

Table of content: (NPI 1124107065)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124107065 NPI number — CHILDHELP, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHILDHELP, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124107065
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6730 N SCOTTSDALE RD STE 150
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85253-4415
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
276-617-0957
Provider Business Mailing Address Fax Number:
480-922-7061

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2120 N CENTRAL AVE
Provider Second Line Business Practice Location Address:
SUITE 130
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-271-4500
Provider Business Practice Location Address Fax Number:
602-282-0102
Provider Enumeration Date:
11/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CARPENTER
Authorized Official First Name:
LISA
Authorized Official Middle Name:
Authorized Official Title or Position:
SR. DIRECTOR, REVENUE CYCLE MGT.
Authorized Official Telephone Number:
276-617-0957

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  BH 1773 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 207814 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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