Acute Services Providerllc

LBN: Acute Services Providerllc
Acute Services Providerllc is an health care organization with primary practice located at 14044 W Camelback Rd 118, Litchfield Park AZ 85340-9428. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Acute Services Providerllc can be contacted via phone (623) 547-2600, or through Kaplan, David Jarret via phone (623) 547-2600.

Contact Information

Primary practice address
14044 W Camelback Rd 118 Litchfield Park AZ 85340-9428
Phone: (623) 547-2600
Fax: (623) 547-1899
Website:
Map and Directions
Authorized official contact:
Name: Kaplan, David Jarret Doctor of Medicine (MD)
Phone: (623) 547-2600

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1205360559
LBN Legal business name Acute Services Providerllc
DBA Doing business as
Authorized official Kaplan, David Jarret Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2017
Last updated Apr 13th, 2017 - about 7 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 1205360559 NPPES
Arizona MEDICAID Z180490

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