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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871915827 | NPPES |
| Arizona | MEDICAID | 170664 |
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