Caspian Gleam Medical Center Llc

LBN: Caspian Gleam Medical Center Llc
Caspian Gleam Medical Center Llc is an health care organization with primary practice located at 3130 Stillwater Drive, Suite B , Prescott AZ 86305. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Caspian Gleam Medical Center Llc can be contacted via phone (801) 884-9687, or through Misaghian, Farbod via phone (801) 884-9687.

Contact Information

Primary practice address
3130 Stillwater Drive, Suite B Prescott AZ 86305
Phone: (801) 884-9687
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Misaghian, Farbod
Phone: (801) 884-9687

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1174073837
LBN Legal business name Caspian Gleam Medical Center Llc
DBA Doing business as
Authorized official Misaghian, Farbod
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2016
Last updated Oct 6th, 2016 - about 8 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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