SUMMIT BHC MESA LLC (NPI# 1871128520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871128520 |
| Entity Type | Organization |
| Organization Name | SUMMIT BHC MESA LLC |
| Practice Address |
860 N Center St Bldg 1-3 Mesa AZ 85201-4201 |
| Mailing Address |
860 N Center St Mesa AZ 85201-4201 |
| Practice Telephone | 4804645764 |
| Mailing Telephone | 4804645764 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | MS. LISA M. HATCHER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5402668632 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Canyon Vista Recovery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1881120558 | Summit Bhc Mesa LLC | Substance Abuse Rehabilitation Facility | 860 N Center St, Mesa, AZ 85201-4201 | 2017-05-02 |
| Street Address |
860 N CENTER ST BLDG 1-3 |
| City | MESA |
| State | AZ |
| Zip Code | 85201-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154940864 | Light House Group Home LLC | Clinic/Center | 108 E 2nd Ave Ste 101, Mesa, AZ 85210-1410 | 2020-04-13 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1437617958 | Choice Recovery Center, LLC | Clinic/Center | 2222 S Dobson Rd Ste 1002, Mesa, AZ 85202-6200 | 2019-03-04 |
| 1851740898 | Evolution Way | Clinic/Center | 724 W University Dr, Suite 103, Mesa, AZ 85201-5649 | 2016-06-10 |
| 1437213725 | Community Bridges | Clinic/Center | 554 S Bellview, Mesa, AZ 85204-2504 | 2006-12-20 |
| 1518923168 | Curtis Walling, Phd PC | Clinic/Center | 3660 E University Dr, Mesa, AZ 85205-6960 | 2006-04-24 |
| 1841752581 | Crossroads, Inc. Red Mountain | Clinic/Center | 143 S Center St, Mesa, AZ 85210-1307 | 2019-04-02 |
| 1598235665 | Phoenix Addiction Recovery LLC | Clinic/Center | 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625 | 2018-11-30 |
| 1144670951 | Soba Mesa LLC | Clinic/Center | 6262 E Broadway Rd, Mesa, AZ 85206-6101 | 2016-06-13 |
| 1861853756 | Archways Recovery Centers, LLC | Clinic/Center | 2222 S Dobson Rd, Suite 1002, Mesa, AZ 85202-6481 | 2016-03-18 |
| Find all providers in MESA | ||||
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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.