Micona

LBN: Mollen Immunization Clinics Of North America, Inc.
Micona is an health care organization with primary practice located at 4602 N 16Th St Suite 200, Phoenix AZ 85016-5189. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Mollen Immunization Clinics Of North America, Inc. can be contacted via phone (602) 264-9806, or through Watts, Beverly A via phone (602) 264-9806.

Contact Information

Primary practice address
4602 N 16Th St Suite 200 Phoenix AZ 85016-5189
Phone: (602) 264-9806
Fax: (602) 264-9846
Website:
Map and Directions
Authorized official contact:
Name: Watts, Beverly A
Phone: (602) 264-9806

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1487784450
LBN Legal business name Mollen Immunization Clinics Of North America, Inc.
DBA Doing business as Micona
Authorized official Watts, Beverly A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Nov 14th, 2007 - about 18 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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