1487367314 NPI number — THE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC

Table of content: (NPI 1487367314)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487367314 NPI number — THE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC
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:
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:
1487367314
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/05/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4293
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARIZONA CITY
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85123-2669
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-298-7301
Provider Business Mailing Address Fax Number:
520-413-5944

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16286 S. SUNLAND GIN RD
Provider Second Line Business Practice Location Address:
STE B
Provider Business Practice Location Address City Name:
ARIZONA CITY
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85123-8512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-367-8069
Provider Business Practice Location Address Fax Number:
520-413-5944
Provider Enumeration Date:
01/05/2023

Additional Information

Authorized Official

Authorized Official Last Name:
LEE
Authorized Official First Name:
TINA
Authorized Official Middle Name:
Authorized Official Title or Position:
FINANCE DIRECTOR
Authorized Official Telephone Number:
520-582-4718

Provider Taxonomy Codes

  • Taxonomy code: 324500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 544985 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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