ARIVACA BOYS RANCH – NPI #1033497276
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
ARIVACA BOYS RANCH is an AHC clinic located in ARIVACA, AZ. NPPES has assigned the NPI number 1033497276 to ARIVACA BOYS RANCH on July 21, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ARIVACA BOYS RANCH” is a dba name, the actual legal business name for this organization is ARIVACA RANCH LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health
The NPI profile was previously updated about 8 years ago on Jun 20, 2018. 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 ARIVACA BOYS RANCH below.
NPI Profile for
ARIVACA RANCH LLC
(about 15 years ago)
ARIVACA, AZ 85601 Phone: (877) 886-9766 Fax: (866) 458-4492
ARIVACA, AZ 85601-0547 Phone: (877) 886-9766 Fax: (866) 458-4492
OWNER
Phone: (480) 216-8982
Identifiers for ARIVACA BOYS RANCH
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | ARIZONA BEHAVIORAL HEALTH LICENSE | AZ | BH-3035 |
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 |
|---|---|---|
| 261QM0855X - Clinic/Center / Adolescent and Children Mental Health (Primary) |
AZ | BH-3035 |
| 3245S0500X - Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children |
AZ | BH-3035 |
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.