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PINAL HISPANIC COUNCIL
NPI 1669899373
Community/Behavioral Health in Douglas, AZ

Active since March 20, 2014CLIA 03D2233069 · Waiver
1930 E 11TH ST, DOUGLAS, AZ 85607(520) 364-4508 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pinal Hispanic Council NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINAL HISPANIC COUNCIL (NPI 1669899373) is a healthcare organization registered as a community/behavioral health in Douglas, Arizona and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Rose M Lopez, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1669899373
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePINAL HISPANIC COUNCIL
Location Address1930 E 11TH STDouglas, AZ 85607-2413
Mailing AddressPo Box 86537Tucson, AZ 85754-6537 · (520) 721-1887 · Fax (520) 721-0069
Phone(520) 364-4508
Organization SubpartNo
Authorized OfficialRose M LopezPresident And Ceo · (520) 721-1887
Enumeration DateMarch 20, 2014
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1669899373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in AZ · OTC6246
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.
1930 E 11TH ST, Douglas, AZ 85607
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Other Identifiers 2

OtherOTC6246AZ · Arizona Department Of Health Services
Medicaid915838AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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 03D2233069

Pinal Hispanic Council -1930 Clinic · Douglas, AZ
Active · expires Aug 18, 2027
CLIA Number03D2233069
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorDr. Lindsey Retterath
Laboratory Phone(520) 364-4508
Laboratory LocationPinal Hispanic Council -1930 Clinic1930 E 11th St, Douglas, AZ 85607
CLIA data matches this NPI record on: Address Name Phone
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 Pinal Hispanic Council's NPI number?

The NPI number for Pinal Hispanic Council is 1669899373. It was assigned to this organization in the NPPES registry on March 20, 2014.

Where is Pinal Hispanic Council located?

Pinal Hispanic Council is located at 1930 E 11th St, Douglas, AZ 85607. The listed phone number is (520) 364-4508.

What is Pinal Hispanic Council's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Pinal Hispanic Council hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2233069) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pinal Hispanic Council accept?

Health plans from Blue Cross Blue Shield of Arizona list Pinal Hispanic Council as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pinal Hispanic Council was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.