AMERICAN INDIAN PREVENTION COALITION (NPI# 1356565105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356565105 |
| Entity Type | Organization |
| Organization Name | AMERICAN INDIAN PREVENTION COALITION |
| Other Organization Name | NDNS4WELLNESS |
| Practice Address |
4197 E Shelton Rd Willcox AZ 85643-4806 |
| Mailing Address |
Po Box 25047 Phoenix AZ 85002-5047 |
| Practice Telephone | 6024241600 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BONNY BEACH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6024241600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 189011 | 05 |
| Other Name | Type Code |
|---|---|
| NDNS4Wellness | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780809376 | American Indian Prevention Coalition | Substance Abuse Rehabilitation Facility | 1902 N 23rd St, Phoenix, AZ 85006-2428 | 2007-04-17 |
| 1114141918 | American Indian Prevention Coalition | Substance Abuse Rehabilitation Facility | 1622 N 27th Pl, Phoenix, AZ 85008-3610 | 2007-04-12 |
| 1750450532 | American Indian Prevention Coalition | Substance Abuse Rehabilitation Facility | 2302 N 7th St, Phoenix, AZ 85006-1602 | 2006-11-07 |
| 1598980187 | American Indian Prevention Coalition | Counselor | 2302 N 7th St, Phoenix, AZ 85006-1602 | 2007-04-17 |
| Street Address |
4197 E SHELTON RD |
| City | WILLCOX |
| State | AZ |
| Zip Code | 85643-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023527363 | Martha Prendergast | Obstetrics & Gynecology | 24749 S Brookerson Rd, Willcox, AZ 85643 | 2017-09-28 |
| 1891097333 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 114 S. Arizona Avenue, & 116, Willcox, AZ 85643 | 2010-12-02 |
| 1528392545 | Willcox Pharmacy, LLC | Pharmacy | 902 W Rex Allen Drive, Suite A, Willcox, AZ 85643 | 2009-09-23 |
| 1104977990 | Ronald J Nelson | Psychologist | 480 N. Bisbee Ave, Willcox, AZ 85643 | 2007-01-16 |
| 1144370149 | Bashas Inc | Pharmacy | 900 W Rex Allen Dr, Willcox, AZ 85643 | 2007-01-11 |
| 1366530859 | Ellen Bennett | Marriage & Family Therapist | 404 Rex Allen Drive, Willcox, AZ 85643 | 2006-10-10 |
| 1780610642 | Southwestern Eye Center Ltd | Durable Medical Equipment & Medical Supplies | 780 Rex Allen Dr., Willcox, AZ 85643 | 2006-06-23 |
| 1366440083 | Charles Wm. Leighton, Jr. Hospice, Inc. | Hospice Care, Community Based | 524 West Maley Place, Willcox, AZ 85643 | 2005-07-07 |
| 1427283175 | Janet Gayle Perry | Registered Nurse | Hwy 86 and Topawa Rd, Sells, AZ 85643 | 2009-05-26 |
| 1881829539 | Nicholas Anthony Quaglietta | Pharmacist | Hwy 86 and Topawa Rd, Sells, AZ 85643 | 2009-05-26 |
| Find all providers in zip 85643 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518417583 | Life Change Family Services Inc | Substance Abuse Rehabilitation Facility | 20018 N Toledo Ave, Maricopa, AZ 85138-5359 | 2016-10-13 |
| 1437401536 | The Haven | Substance Abuse Rehabilitation Facility | 1015 E Adelaide Dr, Tucson, AZ 85719-2605 | 2012-10-12 |
| 1033497276 | Arivaca Ranch LLC | Substance Abuse Rehabilitation Facility | 38000 South Arivaca Ranch Road, Arivaca, AZ 85601 | 2011-07-21 |
| 1275861007 | Mhcti LLC | Substance Abuse Rehabilitation Facility | 3771 E Brooks Farms Rd, Gilbert, AZ 85298-5811 | 2009-12-07 |
| 1679800106 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1800 Rio Vista Dr, Bullhead City, AZ 86442-7229 | 2009-11-04 |
| 1578736039 | Tri-phase Group Home Inc | Substance Abuse Rehabilitation Facility | 111 S Lazona Dr, Mesa, AZ 85204-1222 | 2008-04-04 |
| 1043483704 | Tri-phase Group Inc | Substance Abuse Rehabilitation Facility | 2355 E Elmwood St, Mesa, AZ 85213-5909 | 2008-04-02 |
| 1396914735 | Tri-phase Group Home Inc | Substance Abuse Rehabilitation Facility | 1575 E Betsy Ln Unit D, Gilbert, AZ 85296-3759 | 2008-02-28 |
| 1487862959 | Navajo Nation Department of Behavioral Health Services | Substance Abuse Rehabilitation Facility | Navajo Route 7, Duplex 2003, Chinle, AZ 86503-0777 | 2007-05-18 |
| 1780809376 | American Indian Prevention Coalition | Substance Abuse Rehabilitation Facility | 1902 N 23rd St, Phoenix, AZ 85006-2428 | 2007-04-17 |
| 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.