GILA RIVER INDIAN COMMUNITY DEPARTMENT OF HUMAN SERVICES – NPI #1073755013
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

GILA RIVER INDIAN COMMUNITY DEPARTMENT OF HUMAN SERVICES is a substance abuse rehabilitation facility located in LAVEEN VILLAGE, AZ. NPPES has assigned the NPI number 1073755013 to GILA RIVER INDIAN COMMUNITY DEPARTMENT OF HUMAN SERVICES on April 06, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

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 GILA RIVER INDIAN COMMUNITY DEPARTMENT OF HUMAN SERVICES below.

NPI Profile for
GILA RIVER INDIAN COMMUNITY DEPARTMENT OF HUMAN SERVICES

NPI Number
1073755013
Enumeration Date

(more than 17 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
GILA RIVER INDIAN COMMUNITY DEPARTMENT OF HUMAN SERVICES
Primary location
3850 N. 16 STREET
LAVEEN VILLAGE, AZ 85339
Phone: (520) 796-3860 Fax: (520) 796-3801
Mailing address
PO BOX 602
LAVEEN, AZ 85339-0602
Phone: (520) 796-3860 Fax: (520) 796-3801
Organization Subpart
No
Authorized Official
GLENN CUMMINGS
DIRECTOR
Phone: (520) 796-3802
Updated
Identifiers

Identifiers for GILA RIVER INDIAN COMMUNITY DEPARTMENT OF HUMAN SERVICES

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
OTHERARIZONA HEALTH CARE COST CONTAINMENT SYSTEMAZ074165
OTHERARIZONA HEALTH CARE COST CONTAINMENT SYSTEMAZ411673
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

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.