SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICE, INC. (NPI# 1356339261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356339261 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICE, INC. |
| Other Organization Name | SEABHS NOGALES OUTPATIENT |
| Practice Address |
32 Boulevard Del Rey David Nogales AZ 85621-9667 |
| Mailing Address |
P.o. Box 2161 611 W. Union Street Benson AZ 85602 |
| Practice Telephone | 5202819189 |
| Practice Fax Number | 5202810916 |
| Mailing Telephone | 5205860800 |
| Mailing Fax Number | 5205860116 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2010-07-27 |
| Authorized Official Name | MR. JOHN MOTOWSKI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5205860800 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | BH-1683 | AZ | Agencies |
| Other Name | Type Code |
|---|---|
| SEABHS Nogales Outpatient | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023539483 | Southeastern Arizona Behavioral Health Service, Inc. | Community/Behavioral Health | 1891 N Mastick Way Ste A&b, Nogales, AZ 85621-1025 | 2017-07-06 |
| 1790773620 | Southeastern Arizona Behavioral Health Service, Inc. | Public Health or Welfare | 404 W Rex Allen Dr, Willcox, AZ 85643-1120 | 2005-10-13 |
| 1932142825 | Southeastern Arizona Behavioral Health Service, Inc. | Public Health or Welfare | 489 N Arroyo Blvd, Nogales, AZ 85621-2644 | 2006-06-14 |
| Street Address |
32 BOULEVARD DEL REY DAVID |
| City | NOGALES |
| State | AZ |
| Zip Code | 85621-9667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356505093 | Teresa Canez | Counselor | 32 Boulevard Del Rey David, Nogales, AZ 85621-9667 | 2008-07-11 |
| 1538221031 | Roberto Thompson | Counselor | 32 Boulevard Del Rey David, Nogales, AZ 85621-9667 | 2006-12-14 |
| 1083706360 | Norma A N Mayer | Counselor | 32 Boulevard Del Rey David, Nogales, AZ 85621-9667 | 2006-09-28 |
| 1871685958 | Yassar E Canchola | Counselor | 32 Boulevard Del Rey David, Nogales, AZ 85621-9667 | 2006-09-28 |
| 1366534679 | Monica Vanessa Tato | Counselor | 32 Boulevard Del Rey David, Nogales, AZ 85621-9667 | 2006-09-28 |
| 1881785491 | Melinda Maricela Castillo | Counselor | 32 Boulevard Del Rey David, Nogales, AZ 85621-9667 | 2006-09-27 |
| 1588755193 | Alfonso Rojo | Counselor | 32 Boulevard Del Rey David, Nogales, AZ 85621-9667 | 2006-09-27 |
| 1700977329 | Maria Delgado | Psychologist | 32 Boulevard Del Rey David, Nogales, AZ 85621-9667 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771033 | Intermountain Health Center, Inc. | Community/Behavioral Health | 272 West Viewpoint Drive, Nogales, AZ 85621 | 2017-10-24 |
| 1336696657 | Intermountain Centers for Human Development Inc. | Community/Behavioral Health | 276 West View Point Drive, Nogales, AZ 85621 | 2016-09-02 |
| 1831584291 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 1857 N Mastick Way, Nogales, AZ 85621 | 2015-04-02 |
| 1043504376 | Community Intervention Associates | Community/Behavioral Health | 32 Blvd Del Rey David, Nogales, AZ 85621 | 2011-06-03 |
| 1568782175 | Arizona's Children Association | Clinic/Center | 1740 N. Mastick Way, Suite D, Nogales, AZ 85621 | 2010-06-04 |
| 1811032493 | Susan M. Jaworski | Local Education Agency (LEA) | 315 Plum Street, Nogales, AZ 85621 | 2007-02-21 |
| 1194885905 | Alex Gracia | Pharmacy Technician | 839 W. Calle Chico, Nogales, AZ 85621 | 2006-12-11 |
| 1982716130 | Yvette Denise Braun | Chiropractor | 1821 N Mastick Way #1, Nogales, AZ 85621 | 2006-08-31 |
| 1043254154 | John Diaz | Emergency Medicine | 1171 W Target Range Road, Carondelet Holy Cross Hospital, Nogales, AZ 85621 | 2006-06-16 |
| 1467495085 | Bart L Mc Rae | Emergency Medicine | Carondelet Holy Cross Hospital, 1171 W. Target Range Road, Nogales, AZ 85621 | 2006-06-13 |
| Find all providers in zip 85621 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932156395 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 489 N Arroyo Blvd, Nogales, AZ 85621-2644 | 2006-05-30 |
| 1932142825 | Southeastern Arizona Behavioral Health Service, Inc. | Public Health or Welfare | 489 N Arroyo Blvd, Nogales, AZ 85621-2644 | 2006-06-14 |
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| 1316304546 | Psa Behavioral Health Agency | Public Health or Welfare | 1308 N Stockton Hill Rd, Suite D, Kingman, AZ 86401-5139 | 2016-01-19 |
| 1346606761 | Banner Whole Health Clinic | Public Health or Welfare | 535 N, Wimont, Tucson, AZ 85711 | 2016-01-14 |
| 1467822734 | Psa Behavioral Health Agency | Public Health or Welfare | 4665 S Ash Ave Ste G-1, Tempe, AZ 85282-6765 | 2015-09-30 |
| 1003207226 | Summit Fire District | Public Health or Welfare | 8905 Koch Field Rd, Flagstaff, AZ 86004-3261 | 2015-02-10 |
| Find all providers with the same taxonomy | ||||
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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.