Concordia Oncology, Pc

LBN: Concordia Oncology, Pc
Concordia Oncology, Pc is an health care organization with primary practice located at 2005 Highway 60 , Globe AZ 85501-9601. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Concordia Oncology, Pc can be contacted via phone (480) 614-0556, or through Shaw, Hollis Earl via phone (480) 614-0556.

Contact Information

Primary practice address
2005 Highway 60 Globe AZ 85501-9601
Phone: (480) 614-0556
Fax: (480) 614-9810
Website:
Map and Directions
Authorized official contact:
Name: Shaw, Hollis Earl Doctor of Medicine (MD)
Phone: (480) 614-0556

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 321434 Arizona

Profile Details

NPI number 1306049614
LBN Legal business name Concordia Oncology, Pc
DBA Doing business as
Authorized official Shaw, Hollis Earl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2007
Last updated Aug 20th, 2007 - about 19 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 1306049614 NPPES
Arizona MEDICAID 170879

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