HARRISON994
NPI 1083846661
Community/Behavioral Health in Tucson, AZ
NPI Status: Active since August 17, 2009
Contact Information
994 S HARRISON RD
TUCSON, AZ
ZIP 85748
Phone: (520) 721-1887
Fax: (520) 721-0069
- Organization
- Community/Behavioral Health
- Accepts Insurance
- CLIA Number: 03D2263793
- CLIA Cert. Type: Other - RES TREATMENT FACILITY
- CLIA Exp. Date: 07-04-2026
About HARRISON994
This page provides the complete NPI Profile along with additional information for Harrison994, a provider established in Tucson, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1083846661 assigned on August 2009. The practitioner's primary taxonomy code is 251S00000X with license number BH3355 (AZ). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Harrison994. The authorized official of this NPI record is Rose Mary Lopez Mba (President And Ceo)
- NPI
- 1083846661
- Provider Legal Name
- INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC.
- Other Organization Name
- HARRISON994
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 994 S HARRISON RD TUCSON, AZ 85748
- Location Phone
- (520) 721-1887
- Location Fax
- (520) 721-0069
- Mailing Address
- PO BOX 86537 TUCSON, AZ 85754
- Mailing Phone
- (520) 721-1887
- Mailing Fax
- (520) 721-0069
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-17-2009
- Last Update Date
- 10-09-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- BH3355
- License State
- AZ
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AZ Blue ACA StandardHealth Silver with Health Choice - HMO
- AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits) - HMO
- AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit) - HMO
- AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit) - HMO
- AZ Blue Portfolio Bronze HSA Focus - HMO
- AZ Blue StandardHealth Bronze Focus - HMO
- AZ Blue StandardHealth Gold Focus - HMO
- AZ Blue StandardHealth Silver Focus - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Simple - HMO
- Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
- Bronze Simple Chronic Care CKM - HMO
- Buena Salud Bronce Simple Para Diabetes - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Gold Simple - HMO
- Gold Simple Diabetes - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple Diabetes - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple Specialist Saver with COPD - HMO
- Silver Simple Women's Health with Menopause Benefits - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| OTC5916 | OTHER (01) | AZ | STATE LICENSE |
| 451145 | MEDICAID (05) | AZ |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2263793
- Facility Type
- Other - RES TREATMENT FACILITY
- Certificate Effective Date
- July 05, 2024
- Certificate Expiration Date
- July 04, 2026
- Laboratory Director
- DR. LINDSEY RETTERATH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Harrison994 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for HARRISON994
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083846661, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
TUCSON, AZ 85748
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083846661, enumerated as an "organization" on August 17, 2009.
The provider is located at 994 S HARRISON RD TUCSON, AZ 85748 and the phone number is (520) 721-1887.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Oscar Health. Please consult your insurance carrier or call the provider to verify.
