# EAST VALLEY CRITICAL CARE ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205135969
- **Authorized official:** MR. RICHARD BASS (PRACTICE MANAGER)
- **Authorized official phone:** (602) 717-4751

## Contact information

- **Practice address:** 1301 S CRISMON RD, MESA, AZ 85209-3767
- **Practice address phone:** (480) 358-6100
- **Mailing address:** 6750 E BAYWOOD AVE, SUITE 507, MESA, AZ 85206-1749
- **Mailing address phone:** (480) 835-7111
- **Mailing address fax:** (480) 218-5706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | — | NULL | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/21/2011
- **Last updated:** 03/21/2011