NPIMap

Organization Active NPI

Catholic Charities Community Services

  • Community/Behavioral Health Agency
  • Bullhead City, AZ
National Provider Identifier
1871672873
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH1013 Issued in AZ
Legal business name
CATHOLIC CHARITIES COMMUNITY SERVICES
Practice address
1594 N Oatman Rd
Bullhead City, AZ 86442-7308
Phone
(928) 758-4176
Fax
(928) 758-5141
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Brigid Wagner, MA
Title
Programs Director
Phone
(928) 607-3527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH1013 AZ Primary

Addresses

Primary practice location

1594 N Oatman Rd
Bullhead City, AZ 86442-7308

Mailing address

2101 N 4TH St
Flagstaff, AZ 86004-4200
Phone (928) 774-9125

Other identifiers 1

IdentifierTypeStateIssuer
124185OtherAZAHCCCS

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities Community Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1594 North Oatman Rd
Bullhead City, AZ 86442
Phone (928) 758-4176

1370 Ramar Rd
Ste C
Bullhead City, AZ 86442

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1871672873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N 4TH ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044200",
            "telephone_number": "928-774-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 N OATMAN RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427308",
            "telephone_number": "928-758-4176",
            "fax_number": "928-758-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "BRIGID",
        "authorized_official_title_or_position": "PROGRAMS DIRECTOR",
        "authorized_official_telephone_number": "928-607-3527",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH1013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "124185",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.