NPIMap

Organization Active NPI

Arizona State University

Doing business as Escalante Health Center

  • Clinic/Center
  • Tempe, AZ
National Provider Identifier
1194058917
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OTC3716 Issued in AZ
Legal business name
ARIZONA STATE UNIVERSITY
Doing business as
Escalante Health Center
Practice address
2150 E Orange St
Tempe, AZ 85281-4814
Phone
(480) 350-5878
NPI assigned
Sep 11, 2009
Last updated
Oct 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dr. Denise Link, WHNP-BCNPI 1164426417
Title
Associate Dean for Clinical Practic
Phone
(602) 496-0893

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OTC3716 AZ Primary

Addresses

Primary practice location

2150 E Orange St
Tempe, AZ 85281-4814

Mailing address

500 N 3Rd St
Room 482a
Phoenix, AZ 85004-2135
Phone (602) 496-0893

Other identifiers 1

IdentifierTypeStateIssuer
Z21383OtherAZMEDICARE ID NUMBER

Other names 1

  • Escalante Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721001291 AZ Part B Supplier - Clinic/Group Practice 7012997976 Receives reassigned benefits from 12 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tempe, AZ

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1194058917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N 3RD ST",
            "address_2": "ROOM 482A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042135",
            "telephone_number": "602-496-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E ORANGE ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852814814",
            "telephone_number": "480-350-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "LINK",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ASSOCIATE DEAN FOR CLINICAL PRACTIC",
        "authorized_official_telephone_number": "602-496-0893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "WHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "OTC3716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "Z21383",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Escalante Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.