Phoenix Gospel Mission, Inc. Dba Phoenix Rescue Mission

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PHOENIX GOSPEL MISSION, INC. DBA PHOENIX RESCUE MISSION

Practice address

1801 S 35TH Ave
Phoenix, AZ 85009-6706

Phone

(602) 233-3000

Fax

(602) 272-5614

NPI assigned

Feb 19, 2018

Organization subpart

No

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

Authorized official

Name

Nathan A. Smith

Title

Chief Program Officer

Phone

(602) 419-8194

Specialties & licenses 2

Addresses

Tax ID family

Phoenix Gospel Mission Inc Dba Phoenix Rescue Mission2 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.

• Phoenix Gospel Mission, Inc. Dba Phoenix Rescue Mission

  dba Phoenix Rescue Mission

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1740876242
  NPD tax ID

Locations

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1811497670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 W VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850072414",
            "telephone_number": "602-233-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850096706",
            "telephone_number": "602-233-3000",
            "fax_number": "602-272-5614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 N 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850072402",
            "country_code": "US",
            "telephone_number": "602-233-3000",
            "fax_number": "602-272-5614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX GOSPEL MISSION, INC. DBA PHOENIX RESCUE MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "602-419-8194"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix First Assist LLC
• Phoenix First Assists LLC
• Phoenix Foot & Ankle Associates PC
• Phoenix Gi Associates PC
• Phoenix Gospel Mission, Inc. Dba Phoenix Rescue Mission (Phoenix Rescue Mission)
• Phoenix Head and Neck Surgery LTD
• Phoenix Health & Wellness Center Inc.
• Phoenix Health Practitioners LLC
• Phoenix Health Psychology, PLLC
• Phoenix Healthcare LLC (Grace Healthcare of Phoenix)

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.