INTERMOUNTAIN HEALTH CENTER, INC. (NPI# 1063923787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063923787 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN HEALTH CENTER, INC. |
| Practice Address |
3815 E. Monte Vista, Apt. 1101 Tuscon AZ 85716 |
| Mailing Address |
Po Box 86537 Tucson AZ 85754-6537 |
| Practice Telephone | 5207211887 |
| Practice Fax Number | 5207210069 |
| Mailing Telephone | 5207211887 |
| Mailing Fax Number | 5207210069 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | ROSE MARY LOPEZ (PRESIDENT AND CEO) |
| Authorized Official Telephone | 5207211887 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1750892246 | Intermountain Health Center, Inc. | Community/Behavioral Health | 994 S. Harrison Road, Tucson, AZ 85748 | 2017-10-24 |
| 1083125587 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1020 South Harrison Road, Tucson, AZ 85748 | 2017-10-24 |
| 1548771033 | Intermountain Health Center, Inc. | Community/Behavioral Health | 272 West Viewpoint Drive, Nogales, AZ 85621 | 2017-10-24 |
| 1003327594 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1821 N. Trekell Road, Suite 1, Casa Grande, AZ 85122 | 2017-10-24 |
| Street Address |
3815 E. MONTE VISTA, APT. 1101 |
| City | TUSCON |
| State | AZ |
| Zip Code | 85716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
| 1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
| 1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
| 1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
| 1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
| 1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
| 1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
| 1952733040 | Jonathan Mark Redhouse | Respiratory Therapist, Certified | 3627 E. Monte Vista Unit D, Tucson, AZ 85716 | 2013-07-31 |
| Find all providers in zip 85716 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.