MOHAVE MENTAL HEALTH CLINIC INC – NPI #1316023864
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

MOHAVE MENTAL HEALTH CLINIC INC is an AHC clinic located in LAKE HAVASU CITY, AZ. NPPES has assigned the NPI number 1316023864 to MOHAVE MENTAL HEALTH CLINIC INC on October 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 5 years ago on Jun 23, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOHAVE MENTAL HEALTH CLINIC INC below.

NPI Profile for
MOHAVE MENTAL HEALTH CLINIC INC

NPI Number
1316023864
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOHAVE MENTAL HEALTH CLINIC INC
Primary location
2187 SWANSON AVE
LAKE HAVASU CITY, AZ 86403
Phone: (928) 855-3432 Fax: (928) 855-0103
Mailing address
3707 N STOCKTON HILL RD STE B
KINGMAN, AZ 86409-0507
Phone: (928) 757-8111 Fax: (928) 757-3256
Organization Subpart
No
Authorized Official
DAWN ABBOTT
CHIEF EXECUTIVE OFFICER
Phone: (928) 757-8111
Updated
Certification Date
Jun 23, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
AZ BH645

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.