Lifespan Healthcare

LBN: Lifespan Healthcare
Lifespan Healthcare is an health care organization with primary practice located at 690 E Warner Rd 112, Gilbert AZ 85296-3054. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Lifespan Healthcare can be contacted via phone (480) 633-3540, or through Richard, Anaresia Marie via phone (480) 633-3540.

Contact Information

Primary practice address
690 E Warner Rd 112 Gilbert AZ 85296-3054
Phone: (480) 633-3540
Fax: (480) 633-5605
Website:
Map and Directions
Authorized official contact:
Name: Richard, Anaresia Marie Family Nurse Practitioner (FNP)
Phone: (480) 633-3540

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X AP1692 Arizona

Profile Details

NPI number 1336527845
LBN Legal business name Lifespan Healthcare
DBA Doing business as
Authorized official Richard, Anaresia Marie Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2015
Last updated May 22nd, 2015 - about 9 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 1336527845 NPPES
Arizona MEDICAID 766777

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