Integrated Care Injury Clinic, Llc

LBN: Integrated Care Injury Clinic, Llc
Integrated Care Injury Clinic, Llc is an health care organization with primary practice located at 11024 N 28Th Dr Ste 280 , Phoenix AZ 85029-4379. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Pain. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Integrated Care Injury Clinic, Llc can be contacted via phone (602) 285-1991, or through Dreval, Andre via phone (602) 400-2800.

Contact Information

Primary practice address
11024 N 28Th Dr Ste 280 Phoenix AZ 85029-4379
Phone: (602) 285-1991
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dreval, Andre
Phone: (602) 400-2800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Pain 261QP3300X

Profile Details

NPI number 1619739521
LBN Legal business name Integrated Care Injury Clinic, Llc
DBA Doing business as
Authorized official Dreval, Andre
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2024
Last updated Jan 25th, 2024 - about last year

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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