Altea Medical Clinic Pllc

LBN: Altea Medical Clinic Pllc
Altea Medical Clinic Pllc is an health care organization with primary practice located at 1210 W 24Th St Ste 2 , Yuma AZ 85364-6227. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Altea Medical Clinic Pllc can be contacted via phone (928) 726-2500, or through Chavez, Vernon via phone (928) 726-2500.

Contact Information

Primary practice address
1210 W 24Th St Ste 2 Yuma AZ 85364-6227
Phone: (928) 726-2500
Fax: (928) 726-7853
Website:
Map and Directions
Authorized official contact:
Name: Chavez, Vernon Doctor of Medicine (MD)
Phone: (928) 726-2500

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1669883864
LBN Legal business name Altea Medical Clinic Pllc
DBA Doing business as
Authorized official Chavez, Vernon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2014
Last updated May 13th, 2014 - about 10 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 1669883864 NPPES
Arizona MEDICAID PENDING

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