GILA RIVER HEALTH CARE (NPI# 1417237074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417237074 |
| Entity Type | Organization |
| Organization Name | GILA RIVER HEALTH CARE |
| Other Organization Name | DHS BEHAVIORAL HEALTH OUT PATIENT SERVICES |
| Practice Address |
291 W Casa Blanca Rd Sacaton AZ 85147 |
| Mailing Address |
Po Box 2171 Sacaton AZ 85147-0056 |
| Practice Telephone | 5205623356 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | MR. SCOTT GEMBERLING (CEO) |
| Authorized Official Telephone | 6025281200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| DHS behavioral Health Out Patient Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598021495 | Gila River Health Care | Community/Behavioral Health | 3850 N. 16th Street Suite #500, Laveen, AZ 85339 | 2012-04-04 |
| 1730485822 | Gila River Health Care | Substance Abuse Rehabilitation Facility | 3850 North 16th Street, Laveen, AZ 85339 | 2011-02-07 |
| 1285938456 | Gila River Health Care | General Acute Care Hospital | 483 W. Seed Farm, Sacaton, AZ 85147-0000 | 2011-01-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GILA RIVER HEALTH CARE CORP | 483 W Seed Farm Rd, Sacaton, AZ 85147 |
| Street Address |
291 W CASA BLANCA RD |
| City | SACATON |
| State | AZ |
| Zip Code | 85147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580158 | Charlie Ginn | Counselor | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2020-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452507 | Jeremy James Pumphrey | Counselor | 438 W Seed Farm Rd, Sacaton, AZ 85147 | 2020-03-17 |
| 1215563804 | Leo Oswaldo Merino | Counselor | 291 W. Casa Blanca Rd. Bldg. # 7, Sacaton, AZ 85147 | 2020-03-16 |
| 1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
| 1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
| 1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
| 1740378694 | Vincent Anthony Berkley | Internal Medicine | 198 S. Skill Center Road, Sacaton, AZ 85147 | 2006-10-10 |
| 1568448801 | Wesley Neil Yamada | Podiatrist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2005-12-19 |
| 1376532515 | Frances Antone | Physician Assistant | 483 W Seed Farm Rd., Sacaton, AZ 85147 | 2005-10-20 |
| 1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
| 1598394660 | Robert Wade Brandimore | Social Worker | 291 W Casa Blanca Rd., Bldg. 7, Sacaton, AZ 85147 | 2020-04-02 |
| Find all providers in zip 85147 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700060878 | Gila River Indian Community Department of Human Services | Community/Behavioral Health | 315 W. Casa Blanca Rd, Sacaton, AZ 85247-2171 | 2007-12-24 |
| 1851600191 | Gila River Health Care Corporation | Community/Behavioral Health | 483 W. Seed Farm Road, Sacaton, AZ 85147-0001 | 2010-10-05 |
| 1497880439 | Gila River Regional Behavioral Health Authority | Community/Behavioral Health | 483 W. Seed Farm Road, Sacaton, AZ 85247-0038 | 2007-02-22 |
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| 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.