| Rio Salado Behavioral Health Systems, Inc. | |
|
1308 W Camelback Rd Phoenix AZ 85013-2107 | |
| (602) 252-9048 | |
| (602) 252-7340 |
| Full Name | Rio Salado Behavioral Health Systems, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1308 W Camelback Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Tino Deanda (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6022529048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Salado Behavioral Health Systems, Inc. 1308 W Camelback Rd Phoenix AZ 85013-2107 Ph: (602) 252-9048 | Rio Salado Behavioral Health Systems, Inc. 1308 W Camelback Rd Phoenix AZ 85013-2107 Ph: (602) 252-9048 |
| NPI Number | 1962548388 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7911972195 |
|---|---|
| Medicare Enrollment ID | O20040831001047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962548388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH2194 (Arizona) | Primary |
| Provider Name | Jane M Kinstler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235521147 PECOS PAC ID: 1456651991 Enrollment ID: I20151204001668 |
| Provider Name | Lindsey M Retterath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417334970 PECOS PAC ID: 3971817925 Enrollment ID: I20180530003050 |
| Provider Name | Philip Allen Bohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386312577 PECOS PAC ID: 4486173457 Enrollment ID: I20250522001054 |
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