NPIMap

Organization Active NPI

Asap

  • Substance Abuse Rehabilitation Facility
  • Parker, AZ
National Provider Identifier
1790916583
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
CP00002772 Issued in WA
Legal business name
ASAP
Practice address
12033 Agency Rd # 730
Parker, AZ 85344-7718
Phone
(928) 669-5243
NPI assigned
Jul 28, 2009
Last updated
Jul 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Mr. Thomas Eldon Brown, CDP
Title
Drug/Alcohol Counselor
Phone
(928) 669-5243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X CP00002772 WA Primary

Addresses

Primary practice location

12033 Agency Rd # 730
Parker, AZ 85344-7718

Mailing address

3560 Chemehuevi Blvd
Lake Havasu City, AZ 86406-6326
Phone (928) 846-7874

National Provider Directory

National Provider Directory
Tax ID family
Colorado River Indian Tribes3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

12033 Agency Rd
#730
Parker, AZ 85344
Phone (928) 669-3256

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1790916583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 CHEMEHUEVI BLVD",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864066326",
            "telephone_number": "928-846-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12033 AGENCY RD # 730",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853447718",
            "telephone_number": "928-669-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ELDON",
        "authorized_official_title_or_position": "DRUG/ALCOHOL COUNSELOR",
        "authorized_official_telephone_number": "928-669-5243",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": "CP00002772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.