Mesa Health Improvement Center

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

OTC4110 Issued in AZ

Legal business name

MESA HEALTH IMPROVEMENT CENTER

Practice address

6343 E Main St
Suite 8
Mesa, AZ 85205-8954

Phone

(480) 325-8838

Fax

(480) 325-9191

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

N Douglass Anderson, PT

Title

Owner

Phone

(480) 325-8838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1346437308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 E MAIN ST",
            "address_2": "SUITE 8",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058954",
            "telephone_number": "480-325-8838",
            "fax_number": "480-325-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 E MAIN ST",
            "address_2": "SUITE 8",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058954",
            "telephone_number": "480-325-8838",
            "fax_number": "480-325-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA HEALTH IMPROVEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "N",
        "authorized_official_middle_name": "DOUGLASS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-325-8838",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "AZ",
            "license": "OTC4110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.