Organization Active NPI

Community Wellness and Safety of Arizona

  • Health Service Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1881847226
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
OTC 3452 Issued in AZ
Legal business name
COMMUNITY WELLNESS AND SAFETY OF ARIZONA
Practice address
522 N Gilbert Rd
Suite 104
Gilbert, AZ 85234-4500
Phone
(480) 325-9459
Fax
(480) 396-0234
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Lynne Brunetto, RN
Title
Co-Director
Phone
(480) 325-9459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X OTC 3452 AZ Primary

Addresses

Primary practice location

522 N Gilbert Rd
Suite 104
Gilbert, AZ 85234-4500

Mailing address

522 N Gilbert Rd
Suite 104
Gilbert, AZ 85234-4500
Phone (480) 325-9459

National Provider Directory

National Provider Directory

Locations

522 N Gilbert Rd
Ste 104
Gilbert, AZ 85234
Phone (480) 325-9459

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1881847226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N GILBERT RD",
            "address_2": "SUITE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344500",
            "telephone_number": "480-325-9459",
            "fax_number": "480-396-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N GILBERT RD",
            "address_2": "SUITE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344500",
            "telephone_number": "480-325-9459",
            "fax_number": "480-396-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS AND SAFETY OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "BRUNETTO",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "480-325-9459",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": "OTC 3452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.