Little Sanctuary Health Center

LBN: Little Sanctuary Health Center
Little Sanctuary Health Center is an health care organization with primary practice located at 840 W Southern Ave , Mesa AZ 85210-4901. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as the primary health care specialty. Little Sanctuary Health Center can be contacted via phone (480) 572-9759, or through Cordova, Adella via phone (623) 326-1055.

Contact Information

Primary practice address
840 W Southern Ave Mesa AZ 85210-4901
Phone: (480) 572-9759
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cordova, Adella
Phone: (623) 326-1055

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1326683376
LBN Legal business name Little Sanctuary Health Center
DBA Doing business as
Authorized official Cordova, Adella
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2019
Last updated Nov 14th, 2019 - about 5 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 1326683376 NPPES
Arizona MEDICAID 954275

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