Provider Demographics
NPI:1720030927
Name:HIGH PLAINS BEHAVIORAL HEALTH, LP
Entity Type:Organization
Organization Name:HIGH PLAINS BEHAVIORAL HEALTH, LP
Other - Org Name:DESERT SPRINGS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-563-1200
Mailing Address - Street 1:PO BOX 415000
Mailing Address - Street 2:MSC 410691
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37241-5000
Mailing Address - Country:US
Mailing Address - Phone:210-491-9400
Mailing Address - Fax:210-491-3517
Practice Address - Street 1:3300 S FM 1788
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-2608
Practice Address - Country:US
Practice Address - Phone:432-563-1200
Practice Address - Fax:432-563-8752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008326283Q00000X
TX856605323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered283Q00000XHospitalsPsychiatric Hospital
Not Answered323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH6631OtherBC RTC PROV #
TXHH3809OtherBC IP SA PROV #
AZ088528Medicaid
TXHH0809OtherBC IP PSYCH PROV #
NMNM600381Medicaid
AZ088528Medicaid