Ivy Health Primary Care Pllc

LBN: Ivy Health Primary Care Pllc
Ivy Health Primary Care Pllc is an health care organization with primary practice located at 2135 Highway 95 Ste 135 , Bullhead City AZ 86442-6005. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Ivy Health Primary Care Pllc can be contacted via phone (928) 218-3493, or through Reyes Mendoza, Sandra via phone (928) 218-3493.

Contact Information

Primary practice address
2135 Highway 95 Ste 135 Bullhead City AZ 86442-6005
Phone: (928) 218-3493
Fax: (928) 208-4829
Website:
Map and Directions
Authorized official contact:
Name: Reyes Mendoza, Sandra FNP-C
Phone: (928) 218-3493

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1679214126
LBN Legal business name Ivy Health Primary Care Pllc
DBA Doing business as
Authorized official Reyes Mendoza, Sandra FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2022
Last updated Oct 3rd, 2023 - about 2 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 1679214126 NPPES
Arizona Other 1417306978 NPI

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