A New Creation Women'S Clinic

LBN: Abundant Life Enterprises, Llc
A New Creation Women'S Clinic is an health care organization with primary practice located at 3055 W Ina Rd Suite 195, Tucson AZ 85741-2107. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Abundant Life Enterprises, Llc can be contacted via phone (520) 293-1117, or through Campbell, Sharon R. via phone (520) 293-1117.

Contact Information

Primary practice address
3055 W Ina Rd Suite 195 Tucson AZ 85741-2107
Phone: (520) 293-1117
Fax: (520) 293-7701
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Sharon R. WHNP-C
Phone: (520) 293-1117

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1104153097
LBN Legal business name Abundant Life Enterprises, Llc
DBA Doing business as A New Creation Women'S Clinic
Authorized official Campbell, Sharon R. WHNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2009
Last updated Mar 16th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104153097 NPPES
Arizona Other Z79110 MEDICARE - (A.L.E. - SC IND )
Arizona MEDICAID 429971 MEDICARE - (A.L.E. - SC IND )
Arizona Other Z79108 MEDICARE - (A.L.E. - SC IND )
Arizona MEDICAID 192914 MEDICARE - (A.L.E. - SC IND )

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