Mckellips Family Medical Clinic, Pllc
LBN: Mckellips Family Medical Clinic, Pllc
Mckellips Family Medical Clinic, Pllc is an health care organization with primary practice located at 3514 N Power Rd Bldg. 1, Suite 105, Mesa AZ 85215-8521. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Mckellips Family Medical Clinic, Pllc can be contacted via phone (480) 422-8533, or through Ferguson, Carl via phone (480) 830-1553.
Contact Information
Primary practice address
3514 N Power Rd Bldg. 1, Suite 105
Mesa AZ 85215-8521
Phone: (480) 422-8533
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1659787497 |
|---|---|
| LBN Legal business name | Mckellips Family Medical Clinic, Pllc |
| DBA Doing business as | |
| Authorized official | Ferguson, Carl Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 1st, 2014 |
| Last updated | Nov 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659787497 | NPPES |
| Arizona | MEDICAID | 273665 | |
| Arizona | Other | 7200350001 |
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