Active NPI
Talas Harbor at Bullhead City
- Psychiatric Hospital
- Bullhead City, AZ
National Provider Identifier
1356802912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- TALAS HARBOR AT BULLHEAD CITY
- Practice address
- 831 Landon Drive
Bullhead City, AZ 86429 - Phone
- (800) 336-5689
- NPI assigned
- Mar 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ron Stewart
- Title
- Ceo
- Phone
- (253) 241-4992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Primary |
Addresses
Primary practice location
831 Landon Drive
Bullhead City, AZ 86429
Mailing address
831 Landon Drive
Bullhead City, AZ 86429
Phone (800) 336-5689
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613520000000",
"number": "1356802912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 LANDON DRIVE",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "86429",
"telephone_number": "800-336-5689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 LANDON DRIVE",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "86429",
"telephone_number": "800-336-5689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TALAS HARBOR AT BULLHEAD CITY",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-27",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "RON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "253-241-4992"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.