Salt River Professional Services

LBN: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Salt River Professional Services is an health care organization with primary practice located at 10005 E Osborn Rd , Scottsdale AZ 85256-4019. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm can be contacted via phone (602) 263-1200, or through Tillman, Laura A via phone (602) 263-1674.

Contact Information

Primary practice address
10005 E Osborn Rd Scottsdale AZ 85256-4019
Phone: (602) 263-1200
Fax: (602) 263-1618
Website:
Map and Directions
Authorized official contact:
Name: Tillman, Laura A Doctor of Medicine (MD)
Phone: (602) 263-1674

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1679628531
LBN Legal business name Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
DBA Doing business as Salt River Professional Services
Authorized official Tillman, Laura A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated May 26th, 2021 - about 3 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 1679628531 NPPES
Arizona Other P0109880 BCBSAZ
Arizona MEDICAID 092353 BCBSAZ

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