Phoenix Resources Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PHOENIX RESOURCES INC

Practice address

585 N 25TH St
Grand Junction, CO 81501-7956

Phone

(970) 424-3662

NPI assigned

Aug 4, 2016

Organization subpart

No

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

Authorized official

Name

Kristin M Ward

Title

Office Manager

Phone

(970) 424-3662

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1902350127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N 25TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017956",
            "telephone_number": "970-424-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N 25TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017956",
            "telephone_number": "970-424-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RESOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-424-3662"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna Nicole Pham, M.A. CCC-SLP
• Dennis Mark Phelps, LPC
• Janie Phillips
• Katherine Margarette Phillips, M.D.
• Luke Kasse Phillips, DPT
• Physician Management Services of Colorado II, LLC
• Dawn Piatanesi, RPH
• Joann C Piburn, F.N.P.
• Hannah Pick, PA-C
• Kevin Lee Waller Pickering

• Substance Abuse Rehabilitation Facility in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Substance Abuse Rehabilitation Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.