Southeastern Arizona Consumer-Run Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUTHEASTERN ARIZONA CONSUMER-RUN SERVICES

Practice address

628 Main St.
Safford, AZ 85546

Phone

(928) 428-1207

Fax

(928) 348-4759

NPI assigned

Oct 27, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Deanna Bellinger

Title

Ceo

Phone

(520) 452-0080

Specialties & licenses 1

Addresses

Other names 1

• Wellness Connections Doing business as

Tax ID family

Southeastern Arizona Consumer Run Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Southeastern Arizona Consumer Run Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sierra Vista, AZ
  • NPI 1568848307
  NPD tax ID

Locations

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1508238700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2648",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85636",
            "telephone_number": "520-452-0080",
            "fax_number": "520-452-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 MAIN ST.",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "85546",
            "telephone_number": "928-428-1207",
            "fax_number": "928-348-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN ARIZONA CONSUMER-RUN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "BELLINGER",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-452-0080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Smith
• Matthew Lot Smith, DDS
• Rebecca Jayne Smith, FNP-C
• Kayla Soohy, LCSW
• Southeastern Arizona Behavioral Health Services, Inc.
• Southwest Ambulance of Southeastern Arizona Inc
• Southwestern Eye Center LTD
• Southwestern Eye Center LTD
• Gregg Phillips Standage, M.D.
• David Edwin Stetson, PHD, PSYCHOL

• Mental Health Clinic/Center (Including Community Mental Health Center) in Safford, AZ
• Providers in Safford, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.