Velda Rose Medical Center

LBN: Mark D Goldberg, Md, Pc
Velda Rose Medical Center is an health care organization with primary practice located at 5252 E Main St , Mesa AZ 85205-8022. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Mark D Goldberg, Md, Pc can be contacted via phone (480) 396-3222, or through Goldberg, Mark D via phone (480) 396-3222.

Contact Information

Primary practice address
5252 E Main St Mesa AZ 85205-8022
Fax: (480) 396-2298
Website:
Authorized official contact:
Name: Goldberg, Mark D Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 18592 Arizona

Profile Details

NPI number 1841482601
LBN Legal business name Mark D Goldberg, Md, Pc
DBA Doing business as Velda Rose Medical Center
Authorized official Goldberg, Mark D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2007
Last updated Sep 8th, 2020 - 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 1841482601 NPPES
Arizona MEDICAID 298704
Arizona MEDICAID 348260
Arizona MEDICAID F000274

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