Generations Family Medicine Pc
LBN: Generations Family Medicine Pc
Generations Family Medicine Pc is an health care organization with primary practice located at 13945 W Grand Ave Suite A-101, Surprise AZ 85374-2437. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty.
Generations Family Medicine Pc can be contacted via phone (623) 537-5170, or through Vitale, Karla Sue via phone (623) 537-5170.
Contact Information
Primary practice address
13945 W Grand Ave Suite A-101
Surprise AZ 85374-2437
Phone: (623) 537-5170
Fax: (623) 537-5274
Website:
Authorized official contact:
Name: Vitale, Karla Sue Doctor of Osteopathy (DO)
Phone: (623) 537-5170
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 3874 | Arizona |
Profile Details
| NPI number | 1821293580 |
|---|---|
| LBN Legal business name | Generations Family Medicine Pc |
| DBA Doing business as | |
| Authorized official | Vitale, Karla Sue Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 20th, 2007 |
| Last updated | Aug 18th, 2008 - about 16 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 | 1821293580 | NPPES |
| Arizona | MEDICAID | 954140 | |
| Arizona | Other | 2Z1716 | |
| Arizona | Other | 7039717 | |
| Arizona | Other | AZ0442900 |
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