Anthem Pain Management, Llc
LBN: Anthem Pain Management, Llc
Anthem Pain Management, Llc is an health care organization with primary practice located at 41818 N Venture Dr Ste 150 , Anthem AZ 85086-3190. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty.
Anthem Pain Management, Llc can be contacted via phone (623) 341-8469, or through Sutton, Keith R via phone (623) 341-8469.
Contact Information
Primary practice address
41818 N Venture Dr Ste 150
Anthem AZ 85086-3190
Phone: (623) 341-8469
Fax: (623) 551-6900
Website:
Authorized official contact:
Name: Sutton, Keith R Family Nurse Practitioner (FNP)
Phone: (623) 341-8469
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Managed Care Organizations / Health Maintenance Organization | 302R00000X | AP3009 | Arizona |
Profile Details
NPI number | 1972910990 |
---|---|
LBN Legal business name | Anthem Pain Management, Llc |
DBA Doing business as | |
Authorized official | Sutton, Keith R Family Nurse Practitioner (FNP) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 22nd, 2014 |
Last updated | Apr 1st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972910990 | NPPES |
Arizona | Other | AP3009 | AZ NP LICENSE |
Arizona | MEDICAID | 506568 | AZ NP LICENSE |
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