Oliveview Homefront
LBN: Higley Family Medicine, Llc
Oliveview Homefront is an health care organization with primary practice located at 1425 S Higley Rd Suite 102, Gilbert AZ 85296-4798. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Higley Family Medicine, Llc can be contacted via phone (480) 988-6878, or through Whitmore, Trevor W via phone (480) 988-6878.
Contact Information
Primary practice address
1425 S Higley Rd Suite 102
Gilbert AZ 85296-4798
Phone: (480) 988-6878
Fax: (480) 988-6879
Website:
Authorized official contact:
Name: Whitmore, Trevor W Physician Assistant (PA)
Phone: (480) 988-6878
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2399 | Arizona |
Profile Details
NPI number | 1366626400 |
---|---|
LBN Legal business name | Higley Family Medicine, Llc |
DBA Doing business as | Oliveview Homefront |
Authorized official | Whitmore, Trevor W Physician Assistant (PA) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 26th, 2007 |
Last updated | Jun 13th, 2008 - about 16 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 | 1366626400 | NPPES |
Arizona | MEDICAID | 560674 | |
Arizona | MEDICAID | 228810 | |
Arizona | MEDICAID | 286791 |
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