NPIMap

Organization Active NPI

Grace Behavioral Health, LLC

  • Ambulance
  • Phoenix, AZ
National Provider Identifier
1063683100
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
GRACE BEHAVIORAL HEALTH, LLC
Practice address
2336 E Magnolia St
Phoenix, AZ 85034-6819
Phone
(602) 231-0102
Fax
(602) 231-0015
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Cynthia Cross
Title
Vice President
Phone
(602) 231-0102

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 146N00000X
Ambulance 341600000X Primary
Non-emergency Medical Transport (VAN) 343900000X
Transportation Broker 347E00000X

Addresses

Primary practice location

2336 E Magnolia St
Phoenix, AZ 85034-6819

Mailing address

2336 E Magnolia St
Phoenix, AZ 85034-6819
Phone (602) 231-0102

Other identifiers 1

IdentifierTypeStateIssuer
971764MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Grace Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1063683100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 E MAGNOLIA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346819",
            "telephone_number": "602-231-0102",
            "fax_number": "602-231-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 E MAGNOLIA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346819",
            "telephone_number": "602-231-0102",
            "fax_number": "602-231-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "602-231-0102"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "971764",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.