Active Kids Pediatrics, Pc

LBN: Active Kids Pediatrics, Pc
Active Kids Pediatrics, Pc is an health care organization with primary practice located at 15215 S 48Th St Suite 110, Phoenix AZ 85044-9142. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Active Kids Pediatrics, Pc can be contacted via phone (480) 783-8960, or through Barnes Clark, Judith Rosch via phone (480) 783-8960.

Contact Information

Primary practice address
15215 S 48Th St Suite 110 Phoenix AZ 85044-9142
Phone: (480) 783-8960
Fax: (480) 783-8967
Website:
Map and Directions
Authorized official contact:
Name: Barnes Clark, Judith Rosch Doctor of Medicine (MD)
Phone: (480) 783-8960

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X A32674 Arizona

Profile Details

NPI number 1629325378
LBN Legal business name Active Kids Pediatrics, Pc
DBA Doing business as
Authorized official Barnes Clark, Judith Rosch Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2012
Last updated Aug 13th, 2012 - about 12 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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