Outpatient Treatment Ctr
LBN: Arizona Institute Of Medicine & Surgery
Outpatient Treatment Ctr is an health care organization with primary practice located at 3636 Stockton Hill Road , Kingman AZ 86409. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Arizona Institute Of Medicine & Surgery can be contacted via phone (928) 757-3680, or through Khan, Azam S. via phone (928) 757-3636.
Contact Information
Primary practice address
3636 Stockton Hill Road
Kingman AZ 86409
Phone: (928) 757-3680
Fax: (928) 757-3614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | OTC660 | Arizona |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | OTC660 | Arizona |
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | OTC-0660 | Arizona |
Profile Details
| NPI number | 1396990800 |
|---|---|
| LBN Legal business name | Arizona Institute Of Medicine & Surgery |
| DBA Doing business as | Outpatient Treatment Ctr |
| Authorized official | Khan, Azam S. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 25th, 2008 |
| Last updated | Jun 16th, 2018 - about 6 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 | 1396990800 | NPPES |
| Arizona | MEDICAID | 167933 | |
| Arizona | Other | OTC-0660 |
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