NPIMap

Organization Active NPI

American Indian Prevention Coalition

  • Children's Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
National Provider Identifier
1780809376
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
AMERICAN INDIAN PREVENTION COALITION
Practice address
1902 N 23Rd St
Phoenix, AZ 85006-2428
Phone
(602) 424-1600
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bonny Beach
Title
Executive Director
Phone
(602) 424-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X AZ Primary

Addresses

Primary practice location

1902 N 23Rd St
Phoenix, AZ 85006-2428

Mailing address

PO Box 25047
Phoenix, AZ 85002-5047

Other identifiers 1

IdentifierTypeStateIssuer
777237MedicaidAZ

Other names 1

  • NDNS4Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
American Indian Prevention Coalition6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780809376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25047",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850025047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 N 23RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062428",
            "telephone_number": "602-424-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN INDIAN PREVENTION COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "BONNY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-424-1600"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "777237",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NDNS4Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.