| Aurora Behavioral Healthcare - Tempe, Llc | |
|
6350 S Maple Ave Tempe AZ 85283-2857 | |
| (480) 345-5410 | |
| (480) 345-5450 |
| Full Name | Aurora Behavioral Healthcare - Tempe, Llc |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 6350 S Maple Ave, Tempe, Arizona |
| Authorized Official Name and Position | Soon K Kim (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2489055091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Behavioral Healthcare - Tempe, Llc 6350 S Maple Ave Tempe AZ 85283-2857 Ph: (480) 345-5410 | Aurora Behavioral Healthcare - Tempe, Llc 6350 S Maple Ave Tempe AZ 85283-2857 Ph: (480) 345-5410 |
| NPI Number | 1164744736 |
|---|---|
| Provider Enumeration Date | 02/23/2010 |
| Last Update Date | 04/28/2017 |
| Medicare PECOS PAC ID | 3072643337 |
|---|---|
| Medicare Enrollment ID | O20100611000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164744736 | NPI | - | NPPES |
| 673684 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | BHSH-3535 (Arizona) | Secondary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
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