Provider Demographics
NPI:1417738014
Name:NAZCARE, INC
Entity Type:Organization
Organization Name:NAZCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLAIMS SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-442-9205
Mailing Address - Street 1:8128 E STATE ROUTE 69 STE 201
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-9459
Mailing Address - Country:US
Mailing Address - Phone:928-442-9205
Mailing Address - Fax:602-535-3230
Practice Address - Street 1:846 W COTTONWOOD LN
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-2223
Practice Address - Country:US
Practice Address - Phone:928-442-9205
Practice Address - Fax:602-535-3230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty