Matrix Medical Network Of Idaho, L.L.C

LBN: Matrix Medical Network Of Idaho, L.L.C
Matrix Medical Network Of Idaho, L.L.C is an health care organization with primary practice located at 4545 E Shea Blvd Suite 175, Phoenix AZ 85028-3074. 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. Matrix Medical Network Of Idaho, L.L.C can be contacted via phone (602) 464-5200, or through Young, Thomas R via phone (602) 464-5200.

Contact Information

Primary practice address
4545 E Shea Blvd Suite 175 Phoenix AZ 85028-3074
Phone: (602) 464-5200
Fax: (480) 907-2108
Website:
Map and Directions
Authorized official contact:
Name: Young, Thomas R Doctor of Medicine (MD)
Phone: (602) 464-5200

Health care specialties

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

Profile Details

NPI number 1659687812
LBN Legal business name Matrix Medical Network Of Idaho, L.L.C
DBA Doing business as
Authorized official Young, Thomas R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2010
Last updated Aug 26th, 2010 - about 14 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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