Gila County Assoc. Retarded Citizens

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

GILA COUNTY ASSOC. RETARDED CITIZENS

Doing business as

Developmental Learning Center

Practice address

14873 South Highway 188
Globe, AZ 85502

Phone

(928) 425-4516

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Debra J Hammer

Title

Director

Phone

(928) 425-6053

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Developmental Learning Center Doing business as

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1952571523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1262",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855021262",
            "telephone_number": "928-425-6053",
            "fax_number": "928-425-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14873 SOUTH HIGHWAY 188",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "85502",
            "telephone_number": "928-425-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILA COUNTY ASSOC. RETARDED CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "928-425-6053"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "680597",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Developmental Learning Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diamond Lea Feener, PTA
• Margo Ruth Flores, NP-C
• Chaun Gamache, PHARMD
• Richard Gau
• Gila County
• Gila County Radiology PLLC
• Amna Saddik Gilmore, M.C.
• Globe Crna Company, LLC
• Globe Family Medical Clinic, LLC
• Globe Medical Investors, LLC

• Early Intervention Provider Agency in Globe, AZ
• Providers in Globe, AZ by specialty
• Early Intervention Provider Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.