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COMMUNITY 43 NPI 1477151546


NPI Information

NPI: 1477151546
Provider Name: COMMUNITY 43
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 03D2266462

Address:
4343 N 16TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 274-4343
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COMMUNITY 43 is a community behavioral health in Phoenix, AZ. The provider is 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. COMMUNITY 43 NPI is 1477151546. The provider is registered as an organization entity type.

The provider's business location address is:

4343 N 16TH ST
PHOENIX, AZ
ZIP 85016-338
Phone: (602) 274-4343

The provider's authorized official is Kara Cline .
The authorized official title is C.e.o. and has the following contact phone number (602) 274-4343.

The CLIA number assigned to this NPI record is 03D2266462 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2020 and was last updated on 3/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174200000XMealsNo
2251B00000XCase ManagementNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4261QM0850XClinic/CenterAdult Mental HealthNo
5251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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