Mingus Medical Care Pllc

LBN: Mingus Medical Care Pllc
Mingus Medical Care Pllc is an health care organization with primary practice located at 813 Cove Pkwy 101, Cottonwood AZ 86326-4663. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Mingus Medical Care Pllc can be contacted via phone (928) 649-8250, or through Pierce, Nancy Ann via phone (928) 649-8250.

Contact Information

Primary practice address
813 Cove Pkwy 101 Cottonwood AZ 86326-4663
Phone: (928) 649-8250
Fax: (928) 649-8255
Website:
Map and Directions
Authorized official contact:
Name: Pierce, Nancy Ann Family Nurse Practitioner (FNP)
Phone: (928) 649-8250

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X AP2192 Arizona

Profile Details

NPI number 1457604019
LBN Legal business name Mingus Medical Care Pllc
DBA Doing business as
Authorized official Pierce, Nancy Ann Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2012
Last updated Aug 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457604019 NPPES
Arizona MEDICAID 968365

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