NPIMap

Organization Active NPI

Gila River Regional Behavioral Health Authority

  • Community/Behavioral Health Agency
  • Sacaton, AZ
National Provider Identifier
1497880439
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
TRIBAL CMS WAIVER Issued in AZ
Legal business name
GILA RIVER REGIONAL BEHAVIORAL HEALTH AUTHORITY
Practice address
483 W. Seed Farm Road
Sacaton, AZ 85247-0038
Phone
(602) 528-7135
Fax
(602) 528-1374
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Scott Gemberling
Title
Ceo
Phone
(602) 528-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X TRIBAL CMS WAIVER AZ Primary

Addresses

Primary practice location

483 W. Seed Farm Road
Sacaton, AZ 85247-0038

Mailing address

PO Box 38
Sacaton, AZ 85247-0038
Phone (602) 528-7135

Other names 1

  • Gila River Health Care Corporation Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031125000648 TX Part B Supplier - Clinic/Group Practice 0648174185 Receives reassigned benefits from 503 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bapchute, AZ; Chandler, AZ; Laveen, AZ; Maricopa, AZ; Sacaton, AZ

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Gila River Healthcare23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1497880439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "852470038",
            "telephone_number": "602-528-7135",
            "fax_number": "602-528-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 W. SEED FARM ROAD",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "852470038",
            "telephone_number": "602-528-7135",
            "fax_number": "602-528-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILA RIVER REGIONAL BEHAVIORAL HEALTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "GEMBERLING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-528-1200"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "TRIBAL CMS WAIVER",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gila River Health Care Corporation",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Gila River Health Care Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacaton, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.