Re Centers of Arizona Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

RE CENTERS OF ARIZONA INC

Practice address

814 E White Mountain Blvd
Pinetop, AZ 85935-7002

Phone

(928) 457-1707

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Danielle Brock

Title

Vice President

Phone

(520) 909-4055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1457045254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 E WHITE MOUNTAIN BLVD",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859357002",
            "telephone_number": "928-457-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 E WHITE MOUNTAIN BLVD",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859357002",
            "telephone_number": "928-457-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE CENTERS OF ARIZONA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "520-909-4055"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinetop Medical Associates LTD (Blue Ridge Regional Clinic)
• Pinetop Treatment Center LLC
• Pinetop Volunteer Fire District
• R Alan Lee OD PC
• Patricia M Rafferty, OTR/L
• Regina Ross, MD, PC
• Fain Richardson
• Naomi Schimmel
• Barbara Schoen, DDS
• Scott Hanson Pac

• Voluntary or Charitable Agency in Pinetop, AZ
• Providers in Pinetop, AZ by specialty
• Voluntary or Charitable Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.