SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.
NPI 1700164019
Clinic/Center - Mental Health (Including Community Mental Health Center) in Flagstaff, AZ

NPI Status: Active since August 03, 2011

Contact Information

2559 E 7TH AVE
FLAGSTAFF, AZ
ZIP 86004
Phone: (928) 779-4550

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Southwest Behavioral Health Services, Inc., a provider established in Flagstaff, Arizona operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1700164019 assigned on August 2011. The practitioner's primary taxonomy code is 261QM0801X with license number BH-3901 (AZ). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Jeff Jorde (President/ceo)

NPI
1700164019
Provider Name
SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.
Entity Type
Organization
Location Address
2559 E 7TH AVE FLAGSTAFF, AZ 86004
Location Phone
(928) 779-4550
Mailing Address
3450 N 3RD ST PHOENIX, AZ 85012
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-03-2011
Last Update Date
08-03-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
BH-3901
License State
AZ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFF JORDE

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(602) 257-9339

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
BH-3901OTHER (01)AZARIZONA DEPT OF HEALTH SERVICES, OBHL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700164019
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
270026802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 2 + 6 + 8 + 0 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1700164019 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598993057COMMUNITY MEDICAL SERVICES IV LLC
Organization
Counselor (Addiction (Substance Use Disorder))2559 E 7TH AVE
FLAGSTAFF, AZ 86004
(928) 714-0010
1841353935COMMUNITY MEDICAL SERVICES IV LLC
Organization
Counselor (Addiction (Substance Use Disorder))2559 E 7TH AVE
FLAGSTAFF, AZ 86004
(928) 714-0010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700164019, enumerated in the NPI registry as an "organization" on August 03, 2011

The provider is located at 2559 E 7th Ave Flagstaff, Az 86004 and the phone number is (928) 779-4550

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 03, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.