SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC. (NPI# 1184978488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184978488 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC. |
| Practice Address |
4755 Campus Dr Sierra Vista AZ 85635-2449 |
| Mailing Address |
611 W Union St Benson AZ 85602-6718 |
| Practice Telephone | 5204589200 |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |
| Authorized Official Name | JOHN MOTOWSKI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5205860800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
OTC5516 | AZ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467824219 | Southeastern Arizona Behavioral Health Services, Inc. | Community/Behavioral Health | 111 W Blake St, Suite 11, Globe, AZ 85501-2177 | 2015-10-20 |
| 1336421973 | Southeastern Arizona Behavioral Health Services, Inc. | Community/Behavioral Health | 441 N Grand Ave Ste 9, Nogales, AZ 85621-2729 | 2011-09-09 |
| 1316015316 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1940 E 11th St, Douglas, AZ 85607-2413 | 2006-11-30 |
| 1932156395 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 489 N Arroyo Blvd, Nogales, AZ 85621-2644 | 2006-05-30 |
| 1184613788 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 730-732 W. 4th St., Benson, AZ 85602 | 2005-10-17 |
| 1962490854 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1326 Hwy 92, Bisbee, AZ 85603-1151 | 2005-10-13 |
| 1134117047 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1615 S 1st Ave, Safford, AZ 85546-2103 | 2005-10-13 |
| 1952399875 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 185 S Moorman Ave, Sierra Vista, AZ 85635-2700 | 2005-10-13 |
| 1124016019 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2005-10-13 |
| 1659369569 | Southeastern Arizona Behavioral Health Services, Inc. | Psychiatric Residential Treatment Facility | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2005-10-13 |
| Street Address |
4755 CAMPUS DR |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316074164 | Geraldine Alexis | Counselor | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2007-02-28 |
| 1487175162 | Chiricahua Community Health Centers, Inc | Clinic/Center | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2017-07-03 |
| 1225579808 | Dennis George Demers | Registered Nurse | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2017-03-15 |
| 1851684500 | Genoa Healthcare, LLC | Pharmacy | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2011-05-26 |
| 1063676757 | Nancy Casurella | Registered Nurse | 4755 Campus Dr, Sierra Vista, AZ 85635 | 2008-07-11 |
| 1093999526 | Deborah A. Crowe | Nurse Practitioner | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2007-12-19 |
| 1306061932 | Gary F Oberg | Counselor | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515683 | Jeffrey Wilde Md Pllc | Clinic/Center | 2585 E Wilcox Dr Ste A, Sierra Vista, AZ 85635-2822 | 2019-08-30 |
| 1699103713 | Cochise Health and Wellness Plc | Clinic/Center | 4669 N Commerce Dr, Suite 4, Sierra Vista, AZ 85635-2497 | 2013-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471970 | Pulse Healthcare Solution Pllc | Clinic/Center | 1991 E Lindrick Dr, Gilbert, AZ 85298-7406 | 2020-09-12 |
| 1386269728 | Blu Advocate Primary Care LLC | Clinic/Center | 13029 W Vista Paseo Dr, Litchfield Park, AZ 85340-5572 | 2020-06-11 |
| 1114541752 | Allied Medical Associates Plc | Clinic/Center | 7525 E Broadway Rd Ste 9, Mesa, AZ 85208-1156 | 2020-05-29 |
| 1679196372 | Total Orthopedics, LLC | Clinic/Center | 4701 N 24th St Ste A1, Phoenix, AZ 85016-9145 | 2020-05-28 |
| 1154941763 | Queen Creek Naturopathic Pllc | Clinic/Center | 21820 S Ellsworth Rd # 101, Queen Creek, AZ 85142-9485 | 2020-04-23 |
| 1043830623 | Fhmc Clinic LLC | Clinic/Center | 9700 N Saguaro Blvd Suite 100, Fountain Hills, AZ 85268-6241 | 2020-04-23 |
| 1952934218 | Thrive Internal Medicine LLC | Clinic/Center | 8102 E Mcdowell Rd Ste 1a, Scottsdale, AZ 85257-3815 | 2020-02-14 |
| 1730712100 | Best Life Family Medicine Pllc | Clinic/Center | 3719 W Anthem Way Ste 102, Anthem, AZ 85086-0477 | 2020-02-13 |
| 1447881933 | Milagros Family Healthcare LLC | Clinic/Center | 11900 N La Canada Dr Unit 68222, Tucson, AZ 85737-4010 | 2020-02-03 |
| 1891334728 | Globaltranz Family Health Clin | Clinic/Center | 7350 N Dobson Rd # 130, Scottsdale, AZ 85256-2710 | 2019-12-23 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
Please comment or provide details below to improve the information on SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC..
| 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.