Grand Canyon Medical Clinic Pllc

LBN: Grand Canyon Medical Clinic Pllc
Grand Canyon Medical Clinic Pllc is an health care organization with primary practice located at 1841 W 25Th St Ste B , Yuma AZ 85364-6931. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Grand Canyon Medical Clinic Pllc can be contacted via phone (928) 503-7246, or through Galvez, Alex D via phone (928) 350-8507.

Contact Information

Primary practice address
1841 W 25Th St Ste B Yuma AZ 85364-6931
Phone: (928) 503-7246
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Galvez, Alex D Family Nurse Practitioner (FNP)
Phone: (928) 350-8507

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1164141065
LBN Legal business name Grand Canyon Medical Clinic Pllc
DBA Doing business as
Authorized official Galvez, Alex D Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2022
Last updated Feb 20th, 2024 - about last year

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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