CHICANOS POR LA CAUSA INC


Address: 1402 South Central Ave, Phoenix, AZ 85000-2801
Phone: 6022570700

CHICANOS POR LA CAUSA INC (NPI# 1104173046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104173046
Entity Type Organization
Organization Name CHICANOS POR LA CAUSA INC
Practice Address 1402 South Central Ave
Phoenix
AZ 85000-2801
Mailing Address 1112 E Buckeye Rd
Phoenix
AZ 85034-4043
Practice Telephone 6022570700
Mailing Telephone 6022570700
Enumeration Date 2012-08-09
Last Update Date 2012-10-10
Authorized Official Name EDMUNDO HIDALGO (CEO)
Authorized Official Telephone 6022570700
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health BH4031 AZ Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AZ 112219 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255416103 Chicanos Por La Causa Inc Clinic/Center 4602 W. Indian School Rd., Cplc Centro De La Familia, Phoenix, AZ 85031 2006-10-26

Office Location

Street Address 1402 SOUTH CENTRAL AVE
City PHOENIX
State AZ
Zip Code 85000-2801

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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Competitor

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City PHOENIX
Zip Code 85000

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Dataset Information

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.

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