GILA RIVER INDIAN COMMUNITY DEPARTMENT OF HUMAN SERVICES (NPI# 1700060878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700060878 |
Entity Type | Organization |
Organization Name | GILA RIVER INDIAN COMMUNITY DEPARTMENT OF HUMAN SERVICES |
Practice Address |
315 W. Casa Blanca Rd Sacaton AZ 85247-2171 |
Mailing Address |
Po Box 2171 Sacaton AZ 85247-2171 |
Practice Telephone | 5205623356 |
Mailing Telephone | 5205623356 |
Enumeration Date | 2007-12-24 |
Last Update Date | 2007-12-24 |
Authorized Official Name | MR. GLENN THOMAS CUMMINGS (ACTING DIRECTOR) |
Authorized Official Telephone | 5205623356 |
Authorized Official Credential | M.A. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | AHCCCS | 074165 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073755013 | Gila River Indian Community Department of Human Services | Substance Abuse Rehabilitation Facility | 3850 N. 16 Street, Laveen, AZ 85339 | 2009-04-06 |
Street Address |
315 W. CASA BLANCA RD |
City | SACATON |
State | AZ |
Zip Code | 85247-2171 |
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 |
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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1558968099 | Seed Sower LLC | Community/Behavioral Health | 11526 W Bloomfield Rd, El Mirage, AZ 85335-3916 | 2020-10-07 |
1306443171 | Essential Health Services, LLC | Community/Behavioral Health | 2112 E Sanoque Ct, Gilbert, AZ 85298-6117 | 2020-10-05 |
1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
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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.