Southeast Valley Medical Group

LBN: Country Club Medical Group P C
Southeast Valley Medical Group is an health care organization with primary practice located at 1950 S Country Club Dr , Mesa AZ 85210-6008. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Country Club Medical Group P C can be contacted via phone (480) 969-1446, or through O'Leary, Silvia via phone (480) 969-1446.

Contact Information

Primary practice address
1950 S Country Club Dr Mesa AZ 85210-6008
Phone: (480) 969-1446
Fax: (480) 969-9105
Website:
Map and Directions
Authorized official contact:
Name: O'Leary, Silvia
Phone: (480) 969-1446

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1649256777
LBN Legal business name Country Club Medical Group P C
DBA Doing business as Southeast Valley Medical Group
Authorized official O'Leary, Silvia
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2005
Last updated Jun 22nd, 2010 - about 15 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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