SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC.


Address: 730-732 W. 4th St., Benson, AZ 85602
Phone: 5202863850

SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC. (NPI# 1184613788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184613788
Entity Type Organization
Organization Name SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC.
Other Organization Name SEABHS PCP
Practice Address 730-732 W. 4th St.
Benson
AZ 85602
Mailing Address 489 N Arroyo Blvd
Nogales
AZ 85621-2644
Practice Telephone 5202863850
Practice Fax Number 5205863873
Mailing Telephone 5202874713
Mailing Fax Number 5202879794
Enumeration Date 2005-10-17
Last Update Date 2020-08-22
Authorized Official Name MRS. DANA JOHNSON (CHIEF EXECUTIVE OFFICIER)
Authorized Official Telephone 5205860800
Authorized Official Credential MSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare BH-1739 AZ Agencies

Other Provider/Organization Names

Other Name Type Code
SEABHS PCP Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467824219 Southeastern Arizona Behavioral Health Services, Inc. Community/Behavioral Health 111 W Blake St, Suite 11, Globe, AZ 85501-2177 2015-10-20
1336421973 Southeastern Arizona Behavioral Health Services, Inc. Community/Behavioral Health 441 N Grand Ave Ste 9, Nogales, AZ 85621-2729 2011-09-09
1316015316 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 1940 E 11th St, Douglas, AZ 85607-2413 2006-11-30
1932156395 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 489 N Arroyo Blvd, Nogales, AZ 85621-2644 2006-05-30
1962490854 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 1326 Hwy 92, Bisbee, AZ 85603-1151 2005-10-13
1134117047 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 1615 S 1st Ave, Safford, AZ 85546-2103 2005-10-13
1952399875 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 185 S Moorman Ave, Sierra Vista, AZ 85635-2700 2005-10-13
1124016019 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 1701 N Douglas Ave, Douglas, AZ 85607-1019 2005-10-13
1659369569 Southeastern Arizona Behavioral Health Services, Inc. Psychiatric Residential Treatment Facility 470 S Ocotillo Ave, Benson, AZ 85602-6403 2005-10-13
1255329132 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 590 S Ocotillo Ave, Benson, AZ 85602-6405 2005-10-13

Office Location

Street Address 730-732 W. 4TH ST.
City BENSON
State AZ
Zip Code 85602

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821582529 Chiricahua Community Health Centers, Inc Clinic/Center 335 South Ocotillo Avenue, Benson, AZ 85602 2018-06-18
1437651288 Chiricahua Community Health Centers Inc Pharmacy 335 S Ocotillo Avenue, Benson, AZ 85602 2018-03-07
1295191641 Caring Connections for Special Needs, LLC. Community/Behavioral Health 870 W 4th St, Benson, AZ 85602 2016-01-14
1396158762 Nicole Michelle Morris Audiologist 1989 S. Frontage Rd., Audiology Hearing and Balance Services, Sierra Vista, AZ 85602 2014-06-03
1467735217 Josephine Anne Ellsworth Counselor 811 Maverick Lane, Benson, AZ 85602 2011-09-27
1730483819 Charles Dean Kartchner Anesthesiology 1357 East Airport Road, Benson, AZ 85602 2011-01-04
1699077321 Community Bridges, Inc Clinic/Center 470 S Ocotillo Ave # 2, Benson, AZ 85602 2010-12-01
1801106844 Tomas G. Soto Social Worker 611 W. Union St., Benson, AZ 85602 2010-10-08
1982929451 Marla Jeanne Trepanier Pharmacist 795 W Fourth Street, Benson, AZ 85602 2010-03-29
1396910832 Susan May Boge Occupational Therapist 1764 N Ocotillo Rd, Benson, AZ 85602 2008-04-25
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Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346374550 Countryside Public Health Service Public Health or Welfare 201 13th St S, Benson, MN 56215-1856 2007-03-16
1760563704 Southeastern Arizona Behavioral Health Svc, Inc. Public Health or Welfare 1193 Basyl Lane, Benson, AZ 85602 2006-10-18
1255329132 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 590 S Ocotillo Ave, Benson, AZ 85602-6405 2005-10-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548861701 Agape Love Community Center LLC Public Health or Welfare 2750 W Mcdowell Rd, Phoenix, AZ 85009-2605 2020-11-04
1508481854 Hamoecrc, LLC Public Health or Welfare 4413 N 106th Ave, Phoenix, AZ 85037-5563 2020-06-12
1699307306 Arizona Healthcare Outreach Public Health or Welfare 3581 W Northern Ave Ste 8, Phoenix, AZ 85051-9404 2020-02-10
1962949008 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Public Health or Welfare 1216 N. 307th Avenue, San Lucy Clinic, Gila Bend, AZ 85337 2017-01-27
1316484462 Golder Ranch Fire District Public Health or Welfare 3885 E Golder Ranch Dr, Tucson, AZ 85739-9797 2017-01-27
1609226364 Clean Colonic LLC Public Health or Welfare 7560 S. Willow Dr, Tempe, AZ 85283 2016-06-14
1316304546 Psa Behavioral Health Agency Public Health or Welfare 1308 N Stockton Hill Rd, Suite D, Kingman, AZ 86401-5139 2016-01-19
1346606761 Banner Whole Health Clinic Public Health or Welfare 535 N, Wimont, Tucson, AZ 85711 2016-01-14
1467822734 Psa Behavioral Health Agency Public Health or Welfare 4665 S Ash Ave Ste G-1, Tempe, AZ 85282-6765 2015-09-30
1003207226 Summit Fire District Public Health or Welfare 8905 Koch Field Rd, Flagstaff, AZ 86004-3261 2015-02-10
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Competitor

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City BENSON
Zip Code 85602

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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