| Intermountain Health Center, Inc. | |
|
1821 N. Trekell Road, Suite 1 Casa Grande AZ 85122 | |
| (520) 426-4289 | |
| (520) 421-0792 |
| Full Name | Intermountain Health Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1821 N. Trekell Road, Suite 1, Casa Grande, Arizona |
| Authorized Official Name and Position | Rose Mary Lopez (PRESIDENT AND CEO) |
| Authorized Official Contact | 5207211887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermountain Health Center, Inc. Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | Intermountain Health Center, Inc. 1821 N. Trekell Road, Suite 1 Casa Grande AZ 85122 Ph: (520) 426-4289 |
| NPI Number | 1003327594 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 01/03/2020 |
| Certification Date | 01/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003327594 | NPI | - | NPPES |
| 333762 | Medicaid | AZ | |
| OTC8491 | Other | AZ | ADHS/BMFL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Higher Heights Human Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 615 W Cottonwood Ln Ste 5-6, Casa Grande, AZ 85122 Phone: 702-772-5488 | |
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Blue Bell Management Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W 1st St, Casa Grande, AZ 85122 Phone: 520-463-3911 | |
Sun Life Family Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 N Arizola Rd, Casa Grande, AZ 85122 Phone: 520-836-3446 Fax: 520-836-8807 | |
Building Overcomers Wellness Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1821 N Trekell Rd, Casa Grande, AZ 85122 Phone: 623-522-2693 |