| Open Inn, Inc | |
|
721 North Gonzales Boulevard Huachuca City AZ 85616-4338 | |
| (520) 456-1000 | |
| (520) 456-1323 |
| Full Name | Open Inn, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 721 North Gonzales Boulevard, Huachuca City, Arizona |
| Authorized Official Name and Position | Nancy Panico (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5206709040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Inn, Inc Po Box 5766 Tucson AZ 85703-0766 Ph: (520) 670-9040 | Open Inn, Inc 721 North Gonzales Boulevard Huachuca City AZ 85616-4338 Ph: (520) 456-1000 |
| NPI Number | 1811100720 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811100720 | NPI | - | NPPES |
| 837461 | Other | AZ | AHCCCS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A6 (Arizona) | Primary |
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