SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICE, INC. (NPI# 1790773620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790773620 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICE, INC. |
| Other Organization Name | SEABHS WILLCOX OUTPATIENT |
| Practice Address |
404 W Rex Allen Dr Willcox AZ 85643-1120 |
| Mailing Address |
P.o. Box 2161 611 W. Union Street Benson AZ 85602 |
| Practice Telephone | 5203842521 |
| Practice Fax Number | 5203840543 |
| Mailing Telephone | 5205860800 |
| Mailing Fax Number | 5205860116 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2010-07-27 |
| Authorized Official Name | MR. JOHN MOTOWSKI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5205860800 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | BH-2672 | AZ | Agencies |
| Other Name | Type Code |
|---|---|
| SEABHS Willcox Outpatient | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023539483 | Southeastern Arizona Behavioral Health Service, Inc. | Community/Behavioral Health | 1891 N Mastick Way Ste A&b, Nogales, AZ 85621-1025 | 2017-07-06 |
| 1356339261 | Southeastern Arizona Behavioral Health Service, Inc. | Public Health or Welfare | 32 Boulevard Del Rey David, Nogales, AZ 85621-9667 | 2005-10-13 |
| 1932142825 | Southeastern Arizona Behavioral Health Service, Inc. | Public Health or Welfare | 489 N Arroyo Blvd, Nogales, AZ 85621-2644 | 2006-06-14 |
| Street Address |
404 W REX ALLEN DR |
| City | WILLCOX |
| State | AZ |
| Zip Code | 85643-1120 |
| 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 | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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| 1699307306 | Arizona Healthcare Outreach | Public Health or Welfare | 3581 W Northern Ave Ste 8, Phoenix, AZ 85051-9404 | 2020-02-10 |
| 1962949008 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Public Health or Welfare | 1216 N. 307th Avenue, San Lucy Clinic, Gila Bend, AZ 85337 | 2017-01-27 |
| 1316484462 | Golder Ranch Fire District | Public Health or Welfare | 3885 E Golder Ranch Dr, Tucson, AZ 85739-9797 | 2017-01-27 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1316304546 | Psa Behavioral Health Agency | Public Health or Welfare | 1308 N Stockton Hill Rd, Suite D, Kingman, AZ 86401-5139 | 2016-01-19 |
| 1346606761 | Banner Whole Health Clinic | Public Health or Welfare | 535 N, Wimont, Tucson, AZ 85711 | 2016-01-14 |
| 1467822734 | Psa Behavioral Health Agency | Public Health or Welfare | 4665 S Ash Ave Ste G-1, Tempe, AZ 85282-6765 | 2015-09-30 |
| 1003207226 | Summit Fire District | Public Health or Welfare | 8905 Koch Field Rd, Flagstaff, AZ 86004-3261 | 2015-02-10 |
| 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.