Gila Crossing Clinic Phcy

LBN: Gila Crossing Clinic Phcy
Gila Crossing Clinic Phcy is an health care organization with primary practice located at 9975 E Beltline Rd , Laveen AZ 85339. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Gila Crossing Clinic Phcy can be contacted via phone (602) 528-1422, or through Ellory, Loren via phone (602) 528-1200.

Contact Information

Primary practice address
9975 E Beltline Rd Laveen AZ 85339
Phone: (602) 528-1422
Fax: (602) 528-3363
Website:
Map and Directions
Authorized official contact:
Name: Ellory, Loren
Phone: (602) 528-1200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1841206257
LBN Legal business name Gila Crossing Clinic Phcy
DBA Doing business as
Authorized official Ellory, Loren
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841206257 NPPES
Arizona MEDICAID AHCCCS334582
Arizona Other 0326288

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