Cardiac Kids, Pllc

LBN: Cardiac Kids, Pllc
Cardiac Kids, Pllc is an health care organization with primary practice located at 1330 N Rim Dr Suite A, Flagstaff AZ 86001-3134. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. Cardiac Kids, Pllc can be contacted via phone (928) 779-7014, or through Rockow, Jeffrey P via phone (928) 779-7014.

Contact Information

Primary practice address
1330 N Rim Dr Suite A Flagstaff AZ 86001-3134
Phone: (928) 779-7014
Fax: (928) 779-3493
Website:
Map and Directions
Authorized official contact:
Name: Rockow, Jeffrey P Doctor of Medicine (MD)
Phone: (928) 779-7014

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 25161 Arizona

Profile Details

NPI number 1124394556
LBN Legal business name Cardiac Kids, Pllc
DBA Doing business as
Authorized official Rockow, Jeffrey P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2012
Last updated Aug 9th, 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 1124394556 NPPES
Arizona MEDICAID 393059

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