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NPI · 1639047020 · NPPES-sourced

Mogollon Treatment Center

ActiveSubstance Abuse Rehabilitation Facility
NPI Number
1639047020
Type 2 · Organisation
Contact
(928) 466-4242
Primary practice line
Last Updated
Enumerated
Primary practice addressAZ · 85053-2940
3338 W Kings AvePhoenix, AZ 85053-2940
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About this NPIWhat this record shows.

NPI 1639047020 is registered to Mogollon Treatment Center, a healthcare organisation classified as "Substance Abuse Rehabilitation Facility" and located at 3338 W Kings Ave in Phoenix, Arizona. The organisation's authorised official is Dustin Bullard. The organisation has been enumerated in the NPI registry since 2025.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mogollon Treatment Center accepts. To confirm in-network status with your specific health plan, contact Mogollon Treatment Center directly at (928) 466-4242.

Frequently asked

Yes. NPI 1639047020 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Substance Abuse Rehabilitation Facility is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (928) 466-4242.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mogollon Treatment Center is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy324500000X
Last updated
Enumerated
StatusActive
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