Gila Valley Clinic

LBN: Gila Valley Clinic Pc
Gila Valley Clinic is an health care organization with primary practice located at 1680 S 20Th Ave , Safford AZ 85546. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Gila Valley Clinic Pc can be contacted via phone (928) 428-1377, or through Coca, Donna S. via phone (928) 428-1377.

Contact Information

Primary practice address
1680 S 20Th Ave Safford AZ 85546
Phone: (928) 428-1377
Fax: (928) 428-6903
Website:
Map and Directions
Authorized official contact:
Name: Coca, Donna S.
Phone: (928) 428-1377

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1740767664
LBN Legal business name Gila Valley Clinic Pc
DBA Doing business as Gila Valley Clinic
Authorized official Coca, Donna S.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 24th, 2018
Last updated Sep 7th, 2018 - about 7 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 1740767664 NPPES
Arizona MEDICAID 121963

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