Md24 Safe Harbor Mi, Llc.

LBN: Md24 Safe Harbor Mi, Llc.
Md24 Safe Harbor Mi, Llc. is an health care organization with primary practice located at 14780 W Mountain View Blvd Ste 110 , Surprise AZ 85374-7280. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Md24 Safe Harbor Mi, Llc. can be contacted via phone (623) 374-7774, or through Nguyen, Linh via phone (623) 374-7774.

Contact Information

Primary practice address
14780 W Mountain View Blvd Ste 110 Surprise AZ 85374-7280
Phone: (623) 374-7774
Fax: (855) 959-1911
Website:
Map and Directions
Authorized official contact:
Name: Nguyen, Linh
Phone: (623) 374-7774

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1417597857
LBN Legal business name Md24 Safe Harbor Mi, Llc.
DBA Doing business as
Authorized official Nguyen, Linh
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2020
Last updated Jan 14th, 2020 - about 4 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 1417597857 NPPES
Arizona MEDICAID 11585425

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