Aviant Hospice Gila

LBN: Hospice Of The Southwest - West Valley, Llc
Aviant Hospice Gila is an health care organization with primary practice located at 136 S Broad St , Globe AZ 85501-2602. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Hospice Of The Southwest - West Valley, Llc can be contacted via phone (928) 425-5400, or through Bass, Richard E via phone (602) 717-4751.

Contact Information

Primary practice address
136 S Broad St Globe AZ 85501-2602
Phone: (928) 425-5400
Fax: (928) 425-5411
Website:
Map and Directions
Authorized official contact:
Name: Bass, Richard E
Phone: (602) 717-4751

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X Arizona
Agencies / Hospice Care, Community Based 251G00000X HSPC6544 Arizona

Profile Details

NPI number 1952578957
LBN Legal business name Hospice Of The Southwest - West Valley, Llc
DBA Doing business as Aviant Hospice Gila
Authorized official Bass, Richard E
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2008
Last updated Jan 5th, 2017 - about 8 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 1952578957 NPPES
Arizona MEDICAID 429014

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