CCR INTERGRATED HEALTH – NPI #1073908810
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

CCR INTERGRATED HEALTH is a community based residential treatment facility located in ARIZONA CITY, AZ. NPPES has assigned the NPI number 1073908810 to CCR INTERGRATED HEALTH on March 30, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CCR INTERGRATED HEALTH is also known by the name N/A. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

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 CCR INTERGRATED HEALTH below.

NPI Profile for
CCR INTERGRATED HEALTH

NPI Number
1073908810
Enumeration Date

(more than 11 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
CCR INTERGRATED HEALTH
Other Name: N/A
Primary location
12268 W DELWOOD DRIVE
3699
ARIZONA CITY, AZ 85123
Phone: (228) 383-1240 Fax:
Mailing address
P.O. BOX 3699
ARIZONA CITY, AZ 85123
Phone: (228) 383-1240 Fax:
Organization Subpart
No
Authorized Official
CLARENCE BURTON
DIRECTOR OF OPERATIONS
Phone: (228) 383-1240
Updated
Identifiers

Identifiers for CCR INTERGRATED HEALTH

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.

DescriptionIssuerStateIdentifier
MEDICAIDAZ503218
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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 AZ
323P00000X
- Psychiatric Residential Treatment Facility		 AZ

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.