| NPI | 1124198791 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-11-09 |
| Last Updated | 2021-06-23 |
| Authorized Official | Dawn Abbott Chief Executive Officer Phone: 9287578111 |
| Mailing Address | 3707 N Stockton Hill Rd Ste B Kingman, AZ 86409-0507 United States Phone: (928) 757-8111 | Fax: (928) 757-3256 📍 View Map |
| Primary Practice Address | 1091 Calumet Ave Kingman, AZ 86409-0503 United States Phone: (928) 757-8111 | Fax: (928) 757-3256 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 320800000X – Community Based Residential Treatment Facility, Mental Illness | AZ | BH2292 AZ DoHS |
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About NPI 1124198791
Mohave Mental Health Clinic Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1124198791. The primary specialty listed is Community Based Residential Treatment Facility, Mental Illness. The organization is located in Kingman, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124198791?
NPI 1124198791 belongs to Mohave Mental Health Clinic Inc, a Community Based Residential Treatment Facility, Mental Illness in Kingman, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124198791 active?
The current status of NPI 1124198791 in the NPPES registry is Active. The record was last updated on 2021-06-23.
What specialty is NPI 1124198791?
NPI 1124198791 is classified under the taxonomy Community Based Residential Treatment Facility, Mental Illness. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124198791?
You can verify NPI 1124198791 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124198791?
The primary practice address on file for NPI 1124198791 is 1091 Calumet Ave, Kingman, AZ 86409-0503. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124198791 issued?
NPI 1124198791 was first issued (enumerated) on 2006-11-09. The NPPES record was last updated on 2021-06-23.
Practice Location Map
Mohave Mental Health Clinic Inc is located at 1091 Calumet Ave, Kingman, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mohave Mental Health Clinic Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124198791. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Community Based Residential Treatment Facility, Mental Illness | BH2292 AZ DoHS | AZ |