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NPI Code Detail

MEDICARE: WOMEN'S TRANSITION PROJECT, INC.

MEDICARE: WOMEN'S TRANSITION PROJECT, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation FacilityBH-2640AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BH-2640OTHERAZSTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407928351
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMEN'S TRANSITION PROJECT, INC.
Provider Business Mailing Address
First Line : 2700 S 8TH AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85713-4730
Country : US
Telephone Number : 520-628-3400
Fax Number : 520-628-3401
Provider Business Practice Location Address
First Line : 240 O'HARA AVENUE
Second Line :
City : BISBEE
State : AZ
Zip : 85603
Country : US
Telephone Number : 520-432-1771
Fax Number : 520-432-4703
Authorized Official
Title or Position : CHIEF QUALITY MANAGEMENT OFFICER
Name : STEPHANIE OLIVER
Credential : CPC, RMM, ICD10CT-CM
Telephone Number : 520-628-3400
Provider Enumeration Date : 11/15/2006
Last Update Date : 08/13/2015

Similar Medicare Providers

1851391684 — DR. JULIA M BROWN M.D.
Practice Location Address:
101 COLE AVE
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Practice Fax: 520-432-1888
1407857196 — SCOTT V SLAGIS MD
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1518968767 — BISBEE HOSPITAL ASSOCIATION
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85603-1327
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1386638930 — CITY OF BISBEE AMBULANCE
Practice Location Address:
118 ARIZONA ST
BISBEE, AZ
85603-1800
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Practice Fax: 520-378-0227
1083600274 — STEPHEN E LINDSTROM MD
Practice Location Address:
101 COLE AVE
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1639165822 — KATHY GRIESEMER PA-C
Practice Location Address:
101 COLE AVE
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1487640736 — KATHLEEN GONZALES FNP
Practice Location Address:
613 BISBEE RD
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85603-1305
Practice Phone: 520-432-7287
Practice Fax:

Directions to “WOMEN'S TRANSITION PROJECT, INC. ” Practice Location

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