Chandler Family Practice, Pc

LBN: Chandler Family Practice, Pc
Chandler Family Practice, Pc is an health care organization with primary practice located at 1076 W Chandler Blvd Suite 113, Chandler AZ 85224-5225. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Chandler Family Practice, Pc can be contacted via phone (480) 963-9334, or through Wilson, Mary L via phone (480) 963-9334.

Contact Information

Primary practice address
1076 W Chandler Blvd Suite 113 Chandler AZ 85224-5225
Fax: (480) 963-0444
Website:
Authorized official contact:
Name: Wilson, Mary L

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 13278 Arizona

Profile Details

NPI number 1427198449
LBN Legal business name Chandler Family Practice, Pc
DBA Doing business as
Authorized official Wilson, Mary L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated May 27th, 2008 - about 16 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 1427198449 NPPES
Arizona MEDICAID 251166

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