CHANGEPOINT INTEGRATED HEALTH NPI 1568183713

NPI Information

NPI: 1568183713
Provider Name: CHANGEPOINT INTEGRATED HEALTH
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2550 SHOW LOW LAKE ROAD
SHOW LOW, AZ
ZIP 85901
Phone: (928) 532-5838
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CHANGEPOINT INTEGRATED HEALTH is a community based residential treatment facility mental illness in Show Low, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CHANGEPOINT INTEGRATED HEALTH NPI is 1568183713. The provider is registered as an organization entity type.

The provider's business location address is:

2550 SHOW LOW LAKE ROAD
SHOW LOW, AZ
ZIP 85901-929
Phone: (928) 532-5838
Fax: (928) 892-5828

The provider's authorized official is Debra A Stuart .
The authorized official title is Chief Operating Officer and has the following contact phone number (928) 537-5315.

The enumeration date for this NPI number is 9/7/2022 and was last updated on 9/7/2022.

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
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BH7728	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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