Bayless Healthcare Group

LBN: Denova Collaborative Health, Llc
Bayless Healthcare Group is an health care organization with primary practice located at 3033 N Central Ave 700, Phoenix AZ 85012-2809. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Denova Collaborative Health, Llc can be contacted via phone (602) 230-7373, or through Johnson, Graham via phone (602) 230-7373.

Contact Information

Primary practice address
3033 N Central Ave 700 Phoenix AZ 85012-2809
Phone: (602) 230-7373
Fax: (602) 682-7455
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Graham
Phone: (602) 230-7373

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X OTC8131 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OTC8131 Arizona
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X OTC8131 Arizona
Allopathic & Osteopathic Physicians / General Practice 208D00000X OTC8131 Arizona
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X OTC5758 Arizona

Profile Details

NPI number 1871915827
LBN Legal business name Denova Collaborative Health, Llc
DBA Doing business as Bayless Healthcare Group
Authorized official Johnson, Graham
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2014
Last updated Oct 24th, 2023 - about last year

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 1871915827 NPPES
Arizona MEDICAID 170664

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