Provider Demographics
NPI:1508238700
Name:SOUTHEASTERN ARIZONA CONSUMER-RUN SERVICES
Entity Type:Organization
Organization Name:SOUTHEASTERN ARIZONA CONSUMER-RUN SERVICES
Other - Org Name:WELLNESS CONNECTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-452-0080
Mailing Address - Street 1:PO BOX 2648
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85636
Mailing Address - Country:US
Mailing Address - Phone:520-452-0080
Mailing Address - Fax:520-452-0090
Practice Address - Street 1:628 MAIN ST.
Practice Address - Street 2:
Practice Address - City:SAFFORD
Practice Address - State:AZ
Practice Address - Zip Code:85546
Practice Address - Country:US
Practice Address - Phone:928-428-1207
Practice Address - Fax:928-348-4759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)