Broca Health Llc

LBN: Broca Health Llc
Broca Health Llc is an health care organization with primary practice located at 1492 S Mill Ave Ste. 114, Tempe AZ 85281-5652. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Broca Health Llc can be contacted via phone (480) 557-5710, or through Cabezudo, Ignacio via phone (480) 557-5710.

Contact Information

Primary practice address
1492 S Mill Ave Ste. 114 Tempe AZ 85281-5652
Phone: (480) 557-5710
Fax: (480) 557-5712
Website:
Map and Directions
Authorized official contact:
Name: Cabezudo, Ignacio Doctor of Medicine (MD)
Phone: (480) 557-5710

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 29743 Arizona

Profile Details

NPI number 1104045830
LBN Legal business name Broca Health Llc
DBA Doing business as
Authorized official Cabezudo, Ignacio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Jun 2nd, 2010 - about 14 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 1104045830 NPPES
Arizona Other 825512 AETNA GROUP #
Arizona Other 9656031 AETNA GROUP #
Arizona MEDICAID 636293 AETNA GROUP #
Arizona Other 1583670 AETNA GROUP #
Arizona Other 2Z2152 AETNA GROUP #
Arizona Other 3267734 AETNA GROUP #
Arizona Other 7910494 AETNA GROUP #
Arizona Other AZ0767110 AETNA GROUP #

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