Arizona Healthy Clinic Llc

LBN: Arizona Healthy Clinic Llc
Arizona Healthy Clinic Llc is an health care organization with primary practice located at 4344 W Indian School Rd Ste 8 , Phoenix AZ 85031-2939. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Arizona Healthy Clinic Llc can be contacted via phone (623) 594-2432, or through Suarez, Diana via phone (623) 594-2432.

Contact Information

Primary practice address
4344 W Indian School Rd Ste 8 Phoenix AZ 85031-2939
Phone: (623) 594-2432
Fax: (623) 594-2438
Website:
Map and Directions
Authorized official contact:
Name: Suarez, Diana RMA
Phone: (623) 594-2432

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X

Profile Details

NPI number 1588299176
LBN Legal business name Arizona Healthy Clinic Llc
DBA Doing business as
Authorized official Suarez, Diana RMA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2020
Last updated Mar 4th, 2020 - about 4 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 1588299176 NPPES
Arizona MEDICAID 1164867099

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