NOGALES
NPI 1336696657
Community/Behavioral Health in Nogales, AZ
About Nogales NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOGALES (NPI 1336696657) is a healthcare organization registered as a community/behavioral health in Nogales, Arizona and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Rose Lopez, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nogales is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Nogales, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D0865225
Nogales Dialysis · Nogales, AZFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Intermountain Centers For Human Development Inc.'s NPI number?
The NPI number for Intermountain Centers For Human Development Inc. is 1336696657. It was assigned to this organization in the NPPES registry on September 2, 2016. The provider is also known as Nogales.
Where is Intermountain Centers For Human Development Inc. located?
Intermountain Centers For Human Development Inc. is located at 276 West View Point Drive, Nogales, AZ 85621. The listed phone number is (520) 281-0678.
What is Intermountain Centers For Human Development Inc.'s specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Intermountain Centers For Human Development Inc. enrolled in Medicare?
Yes. Intermountain Centers For Human Development Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Intermountain Centers For Human Development Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 8 Medicare specialties reassign their Medicare billing to Intermountain Centers For Human Development Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (12), Mental Health Counselor (2) and Clinical Psychologist (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Intermountain Centers For Human Development Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D0865225) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Intermountain Centers For Human Development Inc. was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nogales · NPI 1336696657
Community/Behavioral Health organization in Nogales, Arizona. Organization record, active in the CMS NPPES registry since September 2, 2016.
## Identity
- **NPI:** 1336696657 (Entity type: Organization)
- **Enumerated:** September 2, 2016
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** Intermountain Centers For Human Development Inc.
- **Organization subpart:** No
- **Authorized official:** Rose Lopez, CEO
## Practice location
- **Address:** 276 WEST VIEW POINT DRIVE, Nogales, AZ 85621
- **Phone:** (520) 281-0678 · **Fax:** (520) 281-0772
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Mental Health Counselor (2), Clinical Psychologist (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2020
- **Other identifiers:** Medicaid 185236 (AZ); Other OTC7773 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336696657) · Data from the CMS NPPES public registry.