| Canyon Vista Medical Center Psych Unit | |
|
5700 E Highway 90 Sierra Vista AZ 85635-9110 | |
| (520) 263-3835 | |
| (520) 263-3919 |
| Full Name | Canyon Vista Medical Center Psych Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5700 E Highway 90, Sierra Vista, Arizona |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Vista Medical Center Psych Unit 5700 E Highway 90 Sierra Vista AZ 85635-9110 Ph: (520) 263-3835 | Canyon Vista Medical Center Psych Unit 5700 E Highway 90 Sierra Vista AZ 85635-9110 Ph: (520) 263-3835 |
| NPI Number | 1275930851 |
|---|---|
| Provider Enumeration Date | 11/26/2014 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Medicare PECOS PAC ID | 7618118126 |
|---|---|
| Medicare Enrollment ID | O20150323002377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275930851 | NPI | - | NPPES |
| 831868 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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