Canyon Family Physicians

LBN: Mkrp Industries Incorporation
Canyon Family Physicians is an health care organization with primary practice located at 2451 E Baseline Rd Suite 130, Gilbert AZ 85234-2471. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Mkrp Industries Incorporation can be contacted via phone (480) 507-2213, or through Pickering, Dennis via phone (602) 889-7550.

Contact Information

Primary practice address
2451 E Baseline Rd Suite 130 Gilbert AZ 85234-2471
Fax: (480) 507-0677
Website:
Authorized official contact:
Name: Pickering, Dennis

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 33546 Arizona

Profile Details

NPI number 1235125840
LBN Legal business name Mkrp Industries Incorporation
DBA Doing business as Canyon Family Physicians
Authorized official Pickering, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2005
Last updated Aug 11th, 2008 - about 16 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 1235125840 NPPES
Arizona Other 2Z2444 HEALTH NET
Arizona MEDICAID 916562 HEALTH NET

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