Arizona Family Medicine Pc
LBN: Arizona Family Medicine Pc
Arizona Family Medicine Pc is an health care organization with primary practice located at 2082 Mesquite Ave Suite A106, Lake Havasu City AZ 86403-6710. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Arizona Family Medicine Pc can be contacted via phone (928) 680-4233, or through Hade, R Douglas via phone (928) 680-4233.
Contact Information
Primary practice address
2082 Mesquite Ave Suite A106
Lake Havasu City AZ 86403-6710
Phone: (928) 680-4233
Fax: (928) 680-6522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18114 | Arizona |
Profile Details
| NPI number | 1548426489 |
|---|---|
| LBN Legal business name | Arizona Family Medicine Pc |
| DBA Doing business as | |
| Authorized official | Hade, R Douglas Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2008 |
| Last updated | Aug 29th, 2008 - about 16 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 | 1548426489 | NPPES |
| Arizona | Other | 080153530 | RAILROAD MEDICARE |
| Arizona | Other | AZ0327480 | RAILROAD MEDICARE |
| Arizona | Other | Z24643 | RAILROAD MEDICARE |
| Arizona | Other | 1Z9241 | RAILROAD MEDICARE |
| Arizona | MEDICAID | 016122 | RAILROAD MEDICARE |
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