Heart Institute Of Northern Arizona Llc
LBN: Heart Institute Of Northern Arizona Llc
Heart Institute Of Northern Arizona Llc is an health care organization with primary practice located at 1753 Airway Ave Suite B, Kingman AZ 86409-3720. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Heart Institute Of Northern Arizona Llc can be contacted via phone (928) 692-6200, or through Guidry, Gary via phone (704) 815-7804.
Contact Information
Primary practice address
1753 Airway Ave Suite B
Kingman AZ 86409-3720
Phone: (928) 692-6200
Fax: (928) 692-9474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Sleep Disorder Diagnostic | 261QS1200X |
Profile Details
| NPI number | 1922089416 |
|---|---|
| LBN Legal business name | Heart Institute Of Northern Arizona Llc |
| DBA Doing business as | |
| Authorized official | Guidry, Gary |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Oct 6th, 2009 - about 15 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 | 1922089416 | NPPES |
| Arizona | MEDICAID | 930348 | |
| Arizona | Other | 470000205 | |
| Arizona | MEDICAID | 197211 |
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