| NPI | 1548416514 |
|---|---|
| Doing Business As | PAYSON OUTPATIENT SERVICES CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN F HOGEBOOM VP/COO 480-831-7566 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: AZ OTC6017) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: AZ OTC6017) |
| 251J00000X Nursing Care (Licence: AZ OTC6017) | |
| 261QM0850X Clinic/Center Adult Mental Health (Licence: AZ OTC6017) | |
| 261QH0100X Clinic/Center Health Service (Licence: AZ OTC6017) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: AZ OTC6017) | |
| 261QR1300X Clinic/Center Rural Health (Licence: AZ OTC6017) | |
| 291U00000X Clinical Medical Laboratory (Licence: AZ OTC6017) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ OTC6017) | |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2015-02-18 |