Cochise Surgical Care Pllc

LBN: Cochise Surgical Care Pllc
Cochise Surgical Care Pllc is an health care organization with primary practice located at 75 Colonia De Salud Suite 100 C, Sierra Vista AZ 85635-2485. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Cochise Surgical Care Pllc can be contacted via phone (520) 452-0144, or through Jenkins, Jody L via phone (520) 452-0144.

Contact Information

Primary practice address
75 Colonia De Salud Suite 100 C Sierra Vista AZ 85635-2485
Phone: (520) 452-0144
Fax: (520) 452-0075
Website:
Map and Directions
Authorized official contact:
Name: Jenkins, Jody L Doctor of Medicine (MD)
Phone: (520) 452-0144

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 23558 Arizona

Profile Details

NPI number 1730109232
LBN Legal business name Cochise Surgical Care Pllc
DBA Doing business as
Authorized official Jenkins, Jody L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2006
Last updated Apr 16th, 2008 - about 17 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 1730109232 NPPES
Arizona Other AZ0776250 BCBS PROVIDER ID
Arizona MEDICAID 322222 BCBS PROVIDER ID

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