NPIMap

Organization Active NPI

Pvahcs

  • Military Hospital
  • Phoenix, AZ
National Provider Identifier
1487993986
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
LCSW-10015 Issued in AZ
Legal business name
PVAHCS
Practice address
650 E Indian School Rd
L-104
Phoenix, AZ 85012-1839
Phone
(602) 277-5551
Fax
(602) 604-3916
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Ms. Clarita Elizabeth Schuback, LCSW
Title
Social Worker
Phone
(602) 277-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X LCSW-10015 AZ Primary

Addresses

Primary practice location

650 E Indian School Rd
L-104
Phoenix, AZ 85012-1839

Mailing address

650 E Indian School Rd
L-104
Phoenix, AZ 85012-1839
Phone (602) 277-5551

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Vamc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

650 E Indian School Rd
#L104
Phoenix, AZ 85012

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1487993986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E INDIAN SCHOOL RD",
            "address_2": "L-104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121839",
            "telephone_number": "602-277-5551",
            "fax_number": "602-604-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E INDIAN SCHOOL RD",
            "address_2": "L-104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121839",
            "telephone_number": "602-277-5551",
            "fax_number": "602-604-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PVAHCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "SCHUBACK",
        "authorized_official_first_name": "CLARITA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "602-277-5551",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "AZ",
            "license": "LCSW-10015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.