BLUE VASE RECOVERY CENTER LLC (NPI# 1972981520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972981520 |
| Entity Type | Organization |
| Organization Name | BLUE VASE RECOVERY CENTER LLC |
| Practice Address |
1201 E Cooley St Suite B Show Low AZ 85901-5122 |
| Practice Telephone | 4802165420 |
| Mailing Telephone | 4802165420 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2017-01-11 |
| Authorized Official Name | BROCK BEVELL (CEO) |
| Authorized Official Telephone | 4802165420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
OTC7145 | AZ | Ambulatory Health Care Facilities |
| Street Address |
1201 E COOLEY ST SUITE B |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-5122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651969 | Left of Bang Lcc | Clinic/Center | 1201 E Cooley St Ste D, Show Low, AZ 85901-5145 | 2018-12-28 |
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| 1477786226 | Paragon Healthcare of Arizona,llc. | Clinic/Center | 2585 S Miracle Mile, Suite 107, Bullhead City, AZ 86442-7522 | 2009-08-27 |
| 1366641219 | Saguaro Rehabilitation and Aquatic Therapy LLC | Clinic/Center | 305 N Plaza Dr, Apache Junction, AZ 85220-5505 | 2007-07-12 |
| 1073734075 | Toyei Industries Incorporated | Clinic/Center | Tselanicottonwood Chapter 15 Navajo Rt 4, Chinle, AZ 86503-8650 | 2007-05-01 |
| 1326091455 | Advanced Medical Therapy, LLC | Clinic/Center | 15640 North 7th Street, Ste 6, Phoenix, AZ 85022 | 2006-05-18 |
| 1104827963 | La Posada At Park Centre Inc | Clinic/Center | 700 S La Posada Cir, Green Valley, AZ 85614-5100 | 2005-08-02 |
| 1669095758 | Scottsdale Mental Health and Wellness Institute | Clinic/Center | 8350 E Raintree Dr Ste 130, Scottsdale, AZ 85260-2692 | 2020-05-22 |
| 1174173579 | Arion Care Solutions, LLC | Clinic/Center | 3200 N Dobson Rd Ste F-2, Chandler, AZ 85224-9611 | 2019-09-17 |
| 1841844784 | Lookout Mountain Healthcare, Inc. | Clinic/Center | 13232 N Tatum Blvd, Phoenix, AZ 85032-6459 | 2019-07-29 |
| 1205480142 | Renewcare of Scottsdale, Inc. | Clinic/Center | 3333 N Civic Center Plz, Scottsdale, AZ 85251-6413 | 2019-07-29 |
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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.