Country Doctor Inc

LBN: Country Doctor Inc
Country Doctor Inc is an health care organization with primary practice located at 13260 N 94Th Dr Ste 102 , Peoria AZ 85381-4242. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Country Doctor Inc can be contacted via phone (623) 815-0827, or through Manganelli, Paul Lee via phone (623) 815-0827.

Contact Information

Primary practice address
13260 N 94Th Dr Ste 102 Peoria AZ 85381-4242
Phone: (623) 815-0827
Fax: (623) 875-0325
Website:
Map and Directions
Authorized official contact:
Name: Manganelli, Paul Lee
Phone: (623) 815-0827

Health care specialties

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

Profile Details

NPI number 1821550310
LBN Legal business name Country Doctor Inc
DBA Doing business as
Authorized official Manganelli, Paul Lee
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2019
Last updated Apr 11th, 2019 - about 5 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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