Avantgarde Cardiovascular Services Pc

LBN: Avantgarde Cardiovascular Services Pc
Avantgarde Cardiovascular Services Pc is an health care organization with primary practice located at 11124 W California Ave Suite G, Youngtown AZ 85363-1246. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as the primary health care specialty. Avantgarde Cardiovascular Services Pc can be contacted via phone (623) 583-2073, or through Jeter, Peggy via phone (623) 583-2073.

Contact Information

Primary practice address
11124 W California Ave Suite G Youngtown AZ 85363-1246
Phone: (623) 583-2073
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jeter, Peggy
Phone: (623) 583-2073

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X

Profile Details

NPI number 1134835358
LBN Legal business name Avantgarde Cardiovascular Services Pc
DBA Doing business as
Authorized official Jeter, Peggy
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 31st, 2023
Last updated Jan 31st, 2023 - about last year

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 1134835358 NPPES
Arizona MEDICAID 097588

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