District Medical Group, Inc
LBN: District Medical Group, Inc
District Medical Group, Inc is an health care organization with primary practice located at 3624 W Anthem Way Ste C116 , Anthem AZ 85086-0457. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
District Medical Group, Inc can be contacted via phone (623) 434-5748, or through Cordeiro, Teresa via phone (602) 470-5519.
Contact Information
Primary practice address
3624 W Anthem Way Ste C116
Anthem AZ 85086-0457
Phone: (623) 434-5748
Fax: (623) 551-8882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1366081705 |
|---|---|
| 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 | Jan 2nd, 2020 - about 4 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 | 1366081705 | NPPES |
| Arizona | MEDICAID | 475747 |
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