INTERMOUNTAIN CENTERS
NPI 1861042012
Clinic/Center - Community Health in Tucson, AZ

Active since September 18, 2019
401 N BONITA AVE, TUCSON, AZ 85709(520) 571-6466(520) 721-0069 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2020, Jan 8, 2020, Jan 3, 2020 and 1 more (4 updates tracked since 2019).

About Intermountain Centers NPPES

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

INTERMOUNTAIN CENTERS (NPI 1861042012) is a healthcare organization registered as a community health in Tucson, Arizona and active in the NPI registry since September 2019. The organization lists Rose Mary Lopez, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1861042012
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameINTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT
Location Address401 N BONITA AVETucson, AZ 85709-5001
Mailing AddressPo Box 86537Tucson, AZ 85754-6537 · (520) 721-1887 · Fax (520) 721-0069
Fax(520) 721-0069
Organization SubpartNo
Authorized OfficialRose Mary LopezPresident And Ceo · (520) 721-1887
Enumeration DateSeptember 18, 2019
Last NPPES UpdateApril 29, 20204 updates tracked since enumeration
NPPES CertifiedApril 29, 2020
NPI 1861042012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedClinic/CenterTaxonomy 261Q00000X
401 N BONITA AVE, Tucson, AZ 85709

Other Names 1

Other NameIntermountain Centers

Other Identifiers 2

OtherOTC9948AZ · Adhs/bmfl License
Medicaid146445AZ

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
401 N BONITA AVE
TUCSON, AZ 85709

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's NPI number?

The NPI number for Intermountain Centers For Human Development is 1861042012. It was assigned to this organization in the NPPES registry on September 18, 2019. The provider is also known as Intermountain Centers.

Where is Intermountain Centers For Human Development located?

Intermountain Centers For Human Development is located at 401 N Bonita Ave, Tucson, AZ 85709. The listed phone number is (520) 571-6466.

What is Intermountain Centers For Human Development's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Intermountain Centers For Human Development was last updated on April 29, 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.