District Medical Group, Inc
LBN: District Medical Group, Inc
District Medical Group, Inc is an health care organization with primary practice located at 15182 N 75Th Ave Ste 180 , Peoria AZ 85381-4722. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
District Medical Group, Inc can be contacted via phone (623) 487-3334, or through Cordeiro, Teresa via phone (602) 470-5519.
Contact Information
Primary practice address
15182 N 75Th Ave Ste 180
Peoria AZ 85381-4722
Phone: (623) 487-3334
Fax: (623) 487-3656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1124667555 |
|---|---|
| LBN Legal business name | District Medical Group, Inc |
| DBA Doing business as | |
| Authorized official | Cordeiro, Teresa |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 2nd, 2020 |
| Last updated | Feb 19th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124667555 | NPPES |
| Arizona | MEDICAID | 475747 |
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