GILA RIVER REGIONAL BEHAVIORAL HEALTH AUTHORITY (NPI# 1497880439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497880439 |
Entity Type | Organization |
Organization Name | GILA RIVER REGIONAL BEHAVIORAL HEALTH AUTHORITY |
Other Organization Name | GILA RIVER HEALTH CARE CORPORATION |
Practice Address |
483 W. Seed Farm Road Sacaton AZ 85247-0038 |
Mailing Address |
Po Box 38 Sacaton AZ 85247-0038 |
Practice Telephone | 6025287135 |
Practice Fax Number | 6025281374 |
Mailing Telephone | 6025287135 |
Mailing Fax Number | 6025281374 |
Enumeration Date | 2007-02-22 |
Last Update Date | 2019-10-29 |
Authorized Official Name | 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 | TRIBAL CMS WAIVE | AZ | Agencies |
Other Name | Type Code |
---|---|
Gila River Health Care Corporation | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306971346 | Gila River Regional Behavioral Health Authority | Case Management | 483 W. Seed Farm Road, Sacaton, AZ 85247-0038 | 2007-02-22 |
Street Address |
483 W. SEED FARM ROAD |
City | SACATON |
State | AZ |
Zip Code | 85247-0038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437239506 | Barbara B. Nakai | Nurse Practitioner | 483 W. Seed Farm Road, Sacaton, AZ 85147-0038 | 2006-10-16 |
1750857991 | Colleen M Nunez | Counselor | 483 W. Seed Farm Road, Sacaton, AZ 85147-0001 | 2018-10-15 |
1821579780 | Ina Blue | Social Worker | 483 W. Seed Farm Road, Sacaton, AZ 85147 | 2018-08-28 |
1457837726 | Lezah Marie King | Nurse Practitioner | 483 W. Seed Farm Road, Sacaton, AZ 85147 | 2018-07-19 |
1487921789 | Linda Louise Corbett-malinak | Counselor | 483 W. Seed Farm Road, Sacaton, AZ 85247 | 2011-11-30 |
1073802864 | Kenneth R Osier | Pharmacist | 483 W. Seed Farm Road, Sacaton, AZ 85147-0001 | 2011-04-01 |
1639473143 | Damian Plues | Dietitian, Registered | 483 W. Seed Farm Road, Sacaton, AZ 85147 | 2010-12-28 |
1851600191 | Gila River Health Care Corporation | Community/Behavioral Health | 483 W. Seed Farm Road, Sacaton, AZ 85147-0001 | 2010-10-05 |
1629241666 | Erin Havens | Optometrist | 483 W. Seed Farm Road, Sacaton, AZ 85147-0038 | 2008-04-10 |
1326239732 | Jobeth C. Minks | Dietitian, Registered | 483 W. Seed Farm Road, Sacaton, AZ 85147 | 2007-08-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669956157 | Lisa Marlene Valletta | Occupational Therapist | 338 S. Ocotillo Dr., Sacaton, AZ 85247 | 2018-09-20 |
1780831313 | Catherine Colella | Speech-Language Pathologist | Skill Center Road, Sacaton, AZ 85247 | 2008-08-26 |
1447428206 | Janet M Carpentier | Counselor | 483 W Seedfarm Road, New Beginnings Bldg, Sacaton, AZ 85247 | 2008-02-14 |
1962680470 | Donald A. Arntsen | Counselor | 483 W. Seedf Farm Rd, Sacaton, AR 85247 | 2008-02-06 |
1508044223 | Ted Whitney Allison | Counselor | 483 Seed Farm Road, Sacaton, AZ 85247 | 2008-02-05 |
1821206855 | Ashley Anderson | Pharmacist | 483 West Farm Seed Road, Sacaton, AZ 85247 | 2007-05-21 |
1295957256 | Judy Ann Banta | Psychologist | 98 South Skill Center Road, Sacaton, AZ 85247 | 2007-05-02 |
1558499319 | Nathan Paul Long | Internal Medicine | 7929 Brookriver Dr. Ste. 165, Dallas, TX 85247 | 2007-03-01 |
1609929942 | S. Louise Chitwood | Pharmacist | Seed Farm Road, Sacaton, AZ 85247 | 2007-01-19 |
1417000803 | Thomas Alan Alpert | Pharmacist | 483 W Seedfarm Rd, Sacaton, AZ 85247 | 2007-01-19 |
Find all providers in zip 85247 |
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 |
---|---|---|---|---|
1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
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 |
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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.