NOGALES
NPI 1336696657
Community/Behavioral Health in Nogales, AZ

Active since September 02, 2016CLIA 03D0865225 · Waiver
276 WEST VIEW POINT DRIVE, NOGALES, AZ 85621(520) 281-0678(520) 281-0772 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2020, Jan 6, 2020, Sep 2, 2016 (3 updates tracked since 2016).

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

NPI1336696657
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameINTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC.
Location Address276 WEST VIEW POINT DRIVENogales, AZ 85621
Mailing AddressPo Box 86537Tucson, AZ 85754-6537 · (520) 721-1887 · Fax (520) 721-0069
Fax(520) 281-0772
Organization SubpartNo
Authorized OfficialRose LopezCeo · (520) 721-1887
Enumeration DateSeptember 2, 2016
Last NPPES UpdateOctober 9, 20203 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
NPI 1336696657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in AZ · OTC7773
Definition
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.
276 WEST VIEW POINT DRIVE, Nogales, AZ 85621

Other Names 1

Other NameNogales

Other Identifiers 2

Medicaid185236AZ
OtherOTC7773AZ · Adhs/bmfl License

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, AZ
Active · expires Oct 26, 2027
CLIA Number03D0865225
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorDaniel J. Castro Pereira
Laboratory Phone(520) 281-5779
Laboratory LocationNogales Dialysis1605 N Industrial Blvd, Ste H, Nogales, AZ 85621
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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.

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 5 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.