Bennett Clinic

LBN: Bennett Clinic Llc
Bennett Clinic is an health care organization with primary practice located at 7876 E Florentine Rd , Prescott Valley AZ 86314-2216. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Bennett Clinic Llc can be contacted via phone (928) 772-7200, or through Bennett, Mary Evelyn via phone (928) 772-7200.

Contact Information

Primary practice address
7876 E Florentine Rd Prescott Valley AZ 86314-2216
Phone: (928) 772-7200
Fax: (928) 772-7779
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Mary Evelyn Registered Nurse (RN)
Phone: (928) 772-7200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT 6078 Arizona

Profile Details

NPI number 1104167444
LBN Legal business name Bennett Clinic Llc
DBA Doing business as Bennett Clinic
Authorized official Bennett, Mary Evelyn Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2013
Last updated Mar 12th, 2013 - about 11 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 1104167444 NPPES
Arizona Other Z90034 MEDICARE PTAN

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