GILA RIVER INDIAN COMMUNITY DEPARTMENT OF HUMAN SERVICES


Address: 315 W. Casa Blanca Rd, Sacaton, AZ 85247-2171
Phone: 5205623356

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AZ AHCCCS 074165 01

Other Provider IDs and Locations

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

Office Location

Street Address 315 W. CASA BLANCA RD
City SACATON
State AZ
Zip Code 85247-2171

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932700929 True Wellness Support Services Community/Behavioral Health 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 2020-11-05
1447851837 Laws of Mindful Healing Community/Behavioral Health 3717 S Chaparral Rd, Apache Junction, AZ 85119-3608 2020-11-03
1790384030 Great Xpectations LLC Community/Behavioral Health 4014 W Christy Dr, Phoenix, AZ 85029-3958 2020-10-19
1710586144 Brighter Tomorrow's Family Services, LLC Community/Behavioral Health 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 2020-10-16
1386242295 Mercy Cares LLC Community/Behavioral Health 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 2020-10-13
1124626080 Beia's Families Community/Behavioral Health 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 2020-10-13
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
1013524230 Civara Behavioral Health LLC Community/Behavioral Health 4010 W Cactus Rd, Phoenix, AZ 85029-2905 2020-10-01
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Competitor

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City SACATON
Zip Code 85247

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Dataset Information

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.

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