Active NPI
Horizon Health and Wellness, Inc.
- Federally Qualified Health Center (FQHC)
- Queen Creek, AZ
National Provider Identifier
1669836649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- HORIZON HEALTH AND WELLNESS, INC.
- Practice address
- 22713 S. Ellsworth Road
Building a
Queen Creek, AZ 85142 - Phone
- (480) 474-5670
- NPI assigned
- Apr 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Norman E Mudd
- Title
- Chief Executive Officer
- Phone
- (480) 983-0065
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
22713 S. Ellsworth Road
Building a
Queen Creek, AZ 85142
Mailing address
625 N. Plaza Drive
Apache Junction, AZ 85120
National Provider Directory
National Provider Directory- Tax ID family
- San Pedro Valley Behavi
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Locations
22713 S Ellsworth Rd
Ste 101
San Tan Valley, AZ 85142
Phone (480) 474-5670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483401600000",
"number": "1669836649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 N. PLAZA DRIVE",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "85120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22713 S. ELLSWORTH ROAD",
"address_2": "BUILDING A",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "85142",
"telephone_number": "480-474-5670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORIZON HEALTH AND WELLNESS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-06",
"last_updated": "2017-01-03",
"status": "A",
"authorized_official_last_name": "MUDD",
"authorized_official_first_name": "NORMAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "480-983-0065",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.