Made Whole Medical Center Llc
LBN: Made Whole Medical Center Llc
Made Whole Medical Center Llc is an health care organization with primary practice located at 13048 W Rancho Santa Fe Blvd , Avondale AZ 85392-1705. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Agencies / Case Management, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Family Planning, Non-Surgical, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Prison Health, Ambulatory Health Care Facilities / VA. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Made Whole Medical Center Llc can be contacted via phone (623) 300-6457, or through Banks, Caremla J via phone (623) 300-6457.
Contact Information
Primary practice address
13048 W Rancho Santa Fe Blvd
Avondale AZ 85392-1705
Phone: (623) 300-6457
Fax: (855) 300-5330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
| Agencies / Case Management | 251B00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Family Planning, Non-Surgical | 261QF0050X | ||
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Prison Health | 261QP2400X | ||
| Ambulatory Health Care Facilities / VA | 261QV0200X |
Profile Details
| NPI number | 1245011006 |
|---|---|
| LBN Legal business name | Made Whole Medical Center Llc |
| DBA Doing business as | Made Whole Medical Center Llc |
| Authorized official | Banks, Caremla J |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 9th, 2023 |
| Last updated | Oct 21st, 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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