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:
Map and Directions
Authorized official contact:
Name: Whitmore, Trevor W Physician Assistant (PA)
Phone: (480) 988-6878

Health care specialties

SpecialtyCodeLicense #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 17 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 1366626400 NPPES
Arizona MEDICAID 560674
Arizona MEDICAID 228810
Arizona MEDICAID 286791

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