| Changepoint Integrated Health | |
|
1920 West Commerce Dr Lakeside AZ 85929 | |
| (928) 368-4110 | |
| (928) 892-5828 |
| Full Name | Changepoint Integrated Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1920 West Commerce Dr, Lakeside, Arizona |
| Authorized Official Name and Position | Michele Hospodka (BILLING / CREDENTIALING) |
| Authorized Official Contact | 9285372951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changepoint Integrated Health 1801 W Deuce Of Clubs Ste 100 Show Low AZ 85901-2704 Ph: (928) 537-2951 | Changepoint Integrated Health 1920 West Commerce Dr Lakeside AZ 85929 Ph: (928) 368-4110 |
| NPI Number | 1841836285 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 11/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841836285 | NPI | - | NPPES |
| 786444 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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