Grant Clinic Llc

LBN: Grant Clinic Llc
Grant Clinic Llc is an health care organization with primary practice located at 708 S Coeur D Alene Ln Suite D, Payson AZ 85541-5662. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Grant Clinic Llc can be contacted via phone (928) 468-1337, or through Grant, Marc via phone (602) 327-0184.

Contact Information

Primary practice address
708 S Coeur D Alene Ln Suite D Payson AZ 85541-5662
Fax: (928) 468-1339
Website:
Authorized official contact:
Name: Grant, Marc Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 1609 Arizona
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 1609 Arizona

Profile Details

NPI number 1346558483
LBN Legal business name Grant Clinic Llc
DBA Doing business as
Authorized official Grant, Marc Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2010
Last updated Jun 6th, 2013 - about 11 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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