NOGALES
NPI 1336696657
Community/Behavioral Health in Nogales, AZ
NPI Status: Active since September 02, 2016
Contact Information
276 WEST VIEW POINT DRIVE
NOGALES, AZ
ZIP 85621
Phone: (520) 281-0678
Fax: (520) 281-0772
- Organization
- Community/Behavioral Health
- CLIA Number: 03D2299137
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 02-13-2026
About NOGALES
This page provides the complete NPI Profile along with additional information for Nogales, a provider established in Nogales, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1336696657 assigned on September 2016. The practitioner's primary taxonomy code is 251S00000X with license number OTC7773 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Nogales. The authorized official of this NPI record is Rose Lopez Mba (Ceo)
- NPI
- 1336696657
- Provider Legal Name
- INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC.
- Other Organization Name
- NOGALES
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 276 WEST VIEW POINT DRIVE NOGALES, AZ 85621
- Location Phone
- (520) 281-0678
- Location Fax
- (520) 281-0772
- Mailing Address
- PO BOX 86537 TUCSON, AZ 85754
- Mailing Phone
- (520) 721-1887
- Mailing Fax
- (520) 281-0772
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-02-2016
- 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.
- OTC7773
- 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:
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 |
|---|---|---|---|
| 185236 | MEDICAID (05) | AZ | |
| OTC7773 | OTHER (01) | AZ | ADHS/BMFL LICENSE |
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
- 03D2299137
- Facility Type
- Community Clinic
- Certificate Effective Date
- February 14, 2024
- Certificate Expiration Date
- February 13, 2026
- Laboratory Director
- DEZHEEN ZEBARI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Nogales 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 6 | 9 | 6 | 6 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 12 | 9 | 12 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 2 + 9 + 1 + 2 + 6 + 1 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1336696657 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336696657, enumerated as an "organization" on September 02, 2016.
The provider is located at 276 WEST VIEW POINT DRIVE NOGALES, AZ 85621 and the phone number is (520) 281-0678.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
