CHICANOS POR LA CAUSA INC


Address: 4602 W. Indian School Rd., Cplc Centro De La Familia, Phoenix, AZ 85031
Phone: 6232470464

CHICANOS POR LA CAUSA INC (NPI# 1255416103) 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) 1255416103
Entity Type Organization
Organization Name CHICANOS POR LA CAUSA INC
Other Organization Name CENTRO DE LA FAMILIA
Practice Address 4602 W. Indian School Rd.
Cplc Centro De La Familia
Phoenix
AZ 85031
Mailing Address 1112 E. Buckeye Rd.
Phoenix
AZ 85034
Practice Telephone 6232470464
Practice Fax Number 6232473875
Mailing Telephone 6022570700
Mailing Fax Number 6023079752
Enumeration Date 2006-10-26
Last Update Date 2020-06-23
Authorized Official Name MR. ANDRES CONTRERAS (EXECUTIVE VICE PRESIDENT)
Authorized Official Telephone 6022570700
Is Organization Subpart Y
Parent Organization Name CHICANOS POR LA CAUSA, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
BH 1586 AZ Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
BH-1586 AZ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 112219 05

Other Provider/Organization Names

Other Name Type Code
Centro de la Familia Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104173046 Chicanos Por La Causa Inc Community/Behavioral Health 1402 South Central Ave, Phoenix, AZ 85000-2801 2012-08-09

Office Location

Street Address 4602 W. INDIAN SCHOOL RD.
CPLC CENTRO DE LA FAMILIA
City PHOENIX
State AZ
Zip Code 85031

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508256629 Jessica Watson Physical Therapy Assistant 4110 N 108th Ave, Suite 103, Phoenix, AZ 85031 2015-01-27
1043518707 Lisette V Hill Nurse Practitioner 3802 N 53rd Avenue, Suite 160, Phoenix, AZ 85031 2011-03-04
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1043526817 Atul J Amin Pharmacist 5102 W Indian School Rd (walgreens), Phoenix, AZ 85031 2010-08-31
1396064663 Akdhc, LLC Internal Medicine 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 2010-05-25
1629397583 Scott Anthony Effinger Pharmacist 4616 N. 51st Avenue, Suite 203, Phoenix, AZ 85031 2010-05-18
1912237397 Albert Potter Counselor 5043 W. Campbell Ave., Phoenix, AZ 85031 2010-01-06
1649434887 Mahmoud Azmi Mahafzah Internal Medicine 5251 W Campbell Ave Ste 204, Phoenix, AZ 85031 2008-07-16
1427253335 Evelyn Tan Omana-roldan Family Medicine 4700 N. 51st Avenue, Suite 1, Phoenix, AZ 85031 2007-06-19
1467542993 Christina Perez Social Worker Corazon I, 3639 W Lincoln, Phoenix, AZ 85031 2006-10-13
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85031

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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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