Alcoholism Council of Cochise

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

BH-1640 Issued in AZ

Legal business name

ALCOHOLISM COUNCIL OF COCHISE

Doing business as

Verhelst Recovery House

Practice address

936 Tovreaville Road
Bisbee, AZ 85603-4098

Phone

(520) 432-3764

Fax

(520) 432-5794

NPI assigned

Nov 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Patrick McNary, LISAC

Title

Executive Director

Phone

(520) 432-3764

Specialties & licenses 1

Addresses

Other names 1

• Verhelst Recovery House Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053483958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4098",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856034098",
            "telephone_number": "520-432-3764",
            "fax_number": "520-432-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 TOVREAVILLE ROAD",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856034098",
            "telephone_number": "520-432-3764",
            "fax_number": "520-432-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOHOLISM COUNCIL OF COCHISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCNARY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-432-3764",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH-1640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Verhelst Recovery House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arizona Counseling & Treatment Services, L.L.C.
• Arizona Counseling & Treatment Services, L.L.C.
• Samantha Kalyani Bassett, FNP-C
• Bisbee Hospital Association
• Bisbee Hospital Association (Copper Queen Medical Associates)

• Substance Abuse Rehabilitation Facility in Bisbee, AZ
• Providers in Bisbee, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.