Breast Care, P.C.

LBN: Breast Care, P.C.
Breast Care, P.C. is an health care organization with primary practice located at 16620 N 40Th St Ste. H - 3, Phoenix AZ 85032-3348. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Breast Care, P.C. can be contacted via phone (602) 971-5002, or through Bourne, Christi Sue via phone (602) 971-5002.

Contact Information

Primary practice address
16620 N 40Th St Ste. H - 3 Phoenix AZ 85032-3348
Phone: (602) 971-5002
Fax: (602) 368-4638
Website:
Map and Directions
Authorized official contact:
Name: Bourne, Christi Sue Doctor of Medicine (MD)
Phone: (602) 971-5002

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 19443 Arizona

Profile Details

NPI number 1245396811
LBN Legal business name Breast Care, P.C.
DBA Doing business as
Authorized official Bourne, Christi Sue Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 22nd, 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 1245396811 NPPES
Arizona MEDICAID 295437

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