NPIMap

Organization Active NPI

Corazon Inc.

Doing business as Corazon Behavioral Health Service

  • Health Maintenance Organization
  • Nogales, AZ
National Provider Identifier
1508160946
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
BH3746 Issued in AZ
Legal business name
CORAZON INC.
Doing business as
Corazon Behavioral Health Service
Practice address
1891 N Mastick Way Ste a
Nogales, AZ 85621-1027
Phone
(520) 375-5300
Fax
(520) 281-2019
NPI assigned
Dec 28, 2010
Last updated
Dec 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X BH3746 AZ Primary

Addresses

Primary practice location

1891 N Mastick Way Ste a
Nogales, AZ 85621-1027

Mailing address

900 E Florence Blvd Ste G
Casa Grande, AZ 85122-4673
Phone (520) 836-4278

Other names 1

  • Corazon Behavioral Health Service Doing business as

National Provider Directory

National Provider Directory

Locations

1891 N Mastick Way
Nogales, AZ 85621
Phone (520) 375-5300

1891 N Mastick Way
Ste A
Nogales, AZ 85621
Phone (520) 375-5300

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": "1508160946",
    "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": "1891 N MASTICK WAY STE A",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211027",
            "telephone_number": "520-375-5300",
            "fax_number": "520-281-2019"
        }
    ],
    "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": "BH3746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corazon Behavioral Health Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nogales, AZ

Sources for this page

  • 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.