Healthcare Provider Details

I. General information

NPI: 1811483878
Provider Name (Legal Business Name): DESERT MOUNTAIN HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2018
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 W PEORIA AVE
PHOENIX AZ
85029-5226
US

IV. Provider business mailing address

7500 N DREAMY DRAW DR STE 205
PHOENIX AZ
85020-4669
US

V. Phone/Fax

Practice location:
  • Phone: 480-371-0180
  • Fax:
Mailing address:
  • Phone: 480-371-0180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberIFBH9001
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: TIM BESCH
Title or Position: ADMINISTRATOR
Credential:
Phone: 480-371-0180