Corazon Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

BH3747 Issued in AZ

Legal business name

CORAZON INC.

Doing business as

Corazon Behavioral Health Service

Practice address

1815 E 9TH St
Douglas, AZ 85607-3429

Phone

(520) 364-3630

Fax

(520) 364-2565

NPI assigned

Dec 28, 2010

Last updated

Dec 28, 2010By 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

Ms. Teresa Menchaca, LCSW

Title

President/Ceo

Phone

(520) 836-4278

Specialties & licenses 1

Addresses

Other names 1

• Corazon Behavioral Health Service Doing business as

Locations

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1447554878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E FLORENCE BLVD STE G",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224673",
            "telephone_number": "520-836-4278",
            "fax_number": "520-836-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E 9TH ST",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856073429",
            "telephone_number": "520-364-3630",
            "fax_number": "520-364-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "MENCHACA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "520-836-4278",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "BH3747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corazon Behavioral Health Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Healthcare of Douglas Inc
• Community Healthcare of Douglas Inc.
• Community Intervention Assciates, Inc (Community Health Associates)
• Copper Queen Medical Associates Douglas
• Corazon Inc. (Corazon Integrated Healthcare Services)
• Larry Corrales
• Suzanne Marie Crase, PHARMD, RPH
• Jessica Lynn Crewse, FNP
• Cypress Inn Assisted Living Center
• Sara E Davidson, RN

• Health Maintenance Organization in Douglas, AZ
• Providers in Douglas, AZ by specialty
• Health Maintenance Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.