NPIMap

Organization Active NPI

Arizona Training Program @ Coolidge

  • Intellectual Disabilities Intermediate Care Facility
  • Coolidge, AZ
National Provider Identifier
1528212974
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ARIZONA TRAINING PROGRAM @ COOLIDGE
Practice address
2800 N. Highway 87
Coolidge, AZ 85228
Phone
(520) 723-4151
NPI assigned
Nov 12, 2008
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF ARIZONAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Zane Garcia Ramadan
Title
Assistant Director
Phone
(480) 490-6538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

2800 N. Highway 87
Coolidge, AZ 85228

Mailing address

2800 N Highway 87
Coolidge, AZ 85128-9460
Phone (520) 723-2600

Other identifiers 1

IdentifierTypeStateIssuer
616203MedicaidAZ

Other names 1

  • 20 Sandstone Court Other name

National Provider Directory

National Provider Directory
Tax ID family
Northern Arizona Univer32 organizations share this tax ID, including this one
Part of
Northern Arizona Univer

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1528212974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N HIGHWAY 87",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851289460",
            "telephone_number": "520-723-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N. HIGHWAY 87",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "85228",
            "telephone_number": "520-723-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA TRAINING PROGRAM @ COOLIDGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ARIZONA",
        "enumeration_date": "2008-11-12",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "GARCIA RAMADAN",
        "authorized_official_first_name": "ZANE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "480-490-6538"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "616203",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20 Sandstone Court",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coolidge, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.