NPIMap

Organization Active NPI

Southeastern Arizona Behavioral Health Services

Doing business as SEABHS- Clifton Outpatient

  • Community/Behavioral Health Agency
  • Clifton, AZ
National Provider Identifier
1902993470
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH2696 Issued in AZ
Legal business name
SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES
Doing business as
SEABHS- Clifton Outpatient
Practice address
10-A Ward Canyon Road, Room 2
Clifton, AZ 85533
Phone
(928) 865-4531
Fax
(928) 865-4821
NPI assigned
Oct 6, 2006
Last updated
May 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Mr. John Motowski, M.S.
Title
Chief Financial Officer
Phone
(520) 586-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH2696 AZ Primary

Addresses

Primary practice location

10-A Ward Canyon Road, Room 2
Clifton, AZ 85533

Mailing address

P.O Box 2161
611 W. Union Street
Benson, AZ 85602
Phone (520) 586-0800

Other identifiers 1

IdentifierTypeStateIssuer
BH-2696OtherAZAZ DEPT. OF HEALTH SERV.

Other names 1

  • SEABHS- Clifton Outpatient Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421000934 AZ Part B Supplier - Clinic/Group Practice 2860488368 Receives reassigned benefits from 19 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sierra Vista, AZ; Willcox, AZ; Safford, AZ; Benson, AZ

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

10 Ward Canyon Rd
Rm 2
Clifton, AZ 85533

10A Ward Canyon Rd
Rm 2
Clifton, AZ 85533
Phone (928) 865-4531

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1902993470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 2161",
            "address_2": "611 W. UNION STREET",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "85602",
            "telephone_number": "520-586-0800",
            "fax_number": "520-586-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10-A WARD CANYON ROAD, ROOM 2",
            "city": "CLIFTON",
            "state": "AZ",
            "postal_code": "85533",
            "telephone_number": "928-865-4531",
            "fax_number": "928-865-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "MOTOWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "520-586-0800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH2696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPT. OF HEALTH SERV.",
            "identifier": "BH-2696",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEABHS- Clifton Outpatient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.