Alta Medical Clinic Inc Of Arizona

LBN: Alta Medical Clinic Inc Of Arizona
Alta Medical Clinic Inc Of Arizona is an health care organization with primary practice located at 4742 N 24Th St Ste 300 , Phoenix AZ 85016-9107. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Alta Medical Clinic Inc Of Arizona can be contacted via phone (909) 236-0338, or through Go, Peterson via phone (909) 236-0338.

Contact Information

Primary practice address
4742 N 24Th St Ste 300 Phoenix AZ 85016-9107
Phone: (909) 236-0338
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Go, Peterson
Phone: (909) 236-0338

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1679280671
LBN Legal business name Alta Medical Clinic Inc Of Arizona
DBA Doing business as
Authorized official Go, Peterson
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2022
Last updated Oct 31st, 2022 - about 2 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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