PORTABLE PRACTICAL EDUCATION PREPARATION, INC. (NPI# 1972999605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972999605 |
Entity Type | Organization |
Organization Name | PORTABLE PRACTICAL EDUCATION PREPARATION, INC. |
Other Organization Name | PPEP BHS |
Practice Address |
201 S. Bingham Avenue Somerton AZ 85350 |
Mailing Address |
802 E 46th St Tucson AZ 85713-5006 |
Practice Telephone | 9282107644 |
Practice Fax Number | 5207925724 |
Mailing Telephone | 5207925704 |
Mailing Fax Number | 5207925724 |
Enumeration Date | 2015-04-09 |
Last Update Date | 2015-04-09 |
Authorized Official Name | DR. JOHN DAVID ARNOLD (CEO/FOUNDER) |
Authorized Official Telephone | 5206223553 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
OTC6417 | AZ | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
PPEP BHS | Doing Business As Name - Organization |
Street Address |
201 S. BINGHAM AVENUE |
City | SOMERTON |
State | AZ |
Zip Code | 85350 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992310312 | Jacob Richard Bromley | Student in an Organized Health Care Education/Training Program | 725 E Main St, Apt #1c, Somerton, AZ 85350 | 2020-09-11 |
1144859539 | Saguaro Foundation Community Living Programs | Community Based Residential Treatment Facility, Mental Illness | 274 Avenue B Suite B, Somerton, AZ 85350 | 2020-04-07 |
1932755840 | Nohemi Azucena Ramirez | Specialist/Technologist | 215 N. Carlisle Ave., Somerton, AZ 85350 | 2019-08-15 |
1285164244 | Alexandra Pierre-bez | Dentist | 115 North Somerton Ave, Somerton, AZ 85350 | 2017-06-13 |
1427402965 | Saguaro Foundation Community Living Programs | Community Based Residential Treatment Facility, Mental Illness | 726 W. Jackson Street, Somerton, AZ 85350 | 2016-04-21 |
1619346905 | Katya Madrid | Specialist/Technologist | 806 E Ramona St, Somerton, AZ 85350 | 2015-09-17 |
1659765329 | City of Somerton | Ambulance | 445 E Main St., Somerton, AZ 85350 | 2015-03-20 |
1437307196 | Patricia A. Parks | Physical Therapist | 215 N Carlisle Ave, Somerton, AZ 85350 | 2008-09-05 |
1639336936 | Brenda Valenzuela | Counselor | 215 N. Carlisle Ave, Somerton, AZ 85350 | 2008-05-22 |
1871781971 | Somerton School District | Local Education Agency (LEA) | 215 North Carlisle Avenue, Somerton, AZ 85350 | 2007-10-15 |
Find all providers in zip 85350 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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---|---|---|---|---|
1336677426 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 950 E Main St Bldg B, Somerton, AZ 85350-7409 | 2017-06-01 |
1972891349 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 214 W Main St, Somerton, AZ 85350-6329 | 2011-07-19 |
1003991506 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 950 E Main St Bldg B, Somerton, AZ 85350-7409 | 2006-10-25 |
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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.