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Intermountain Health Center Inc
Multi-Specialty Clinic/Center in Tucson, Arizona
NPI 1609245273

Intermountain Health Center Inc is a Multi-Specialty Clinic/Center based in Tucson, AZ and is specialized in Multi-Specialty. Intermountain Health Center Inc practices in Tucson, AZ. The NPI Number for Intermountain Health Center Inc is 1609245273 and holds a License No. (Arizona).

The current practice location address for Intermountain Health Center Inc is 5055 E Broadway Blvd Ste C104, Tucson, AZ and can be reached out via phone at 520-628-9833 and via fax at 520-623-9083.

Location: 5055 E Broadway Blvd Ste C104, Tucson, AZ, 85754-6537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609245273
Provider Name
Intermountain Health Center Inc
Credential
Provider Entity Type
Organization
Address
5055 E Broadway Blvd Ste C104, Tucson, AZ, 85754-6537
Phone Number
520-628-9833
Fax Number
520-623-9083
Provider Enumeration Date
09/24/2015
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
OTC7779 01 AZ ADHS/BMFL LICENSE
198509 05 AZ
institution
Provider Business Practice Location Address Details
Address
5055 E Broadway Blvd Ste C104
City
Tucson
State
Arizona
Zip
85711-3641
Phone Number
520-628-9833
Fax Number
520-623-9083
person
Provider Business Mailing Address Details
Address
5055 E Broadway Blvd Ste C104
City
Tucson
State
Arizona
Zip
85711-3641
Phone Number
520-628-9833
Fax Number
520-623-9083
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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