Provider Demographics
NPI:1831465335
Name:VENTURA HEALTH
Entity Type:Organization
Organization Name:VENTURA HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLINICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DBH
Authorized Official - Phone:602-513-6750
Mailing Address - Street 1:5025 N CENTRAL AVE
Mailing Address - Street 2:#450
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-1520
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 E CAMELBACK RD
Practice Address - Street 2:630
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1668
Practice Address - Country:US
Practice Address - Phone:602-513-6750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty