Noahs Ark Pediatrics

LBN: Noahs Ark Family Clinic Corp
Noahs Ark Pediatrics is an health care organization with primary practice located at 7800 N 55Th Ave Ste 106&107 , Glendale AZ 85301-1321. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Noahs Ark Family Clinic Corp can be contacted via phone (623) 931-5001, or through Salem, Eric via phone (623) 931-5001.

Contact Information

Primary practice address
7800 N 55Th Ave Ste 106&107 Glendale AZ 85301-1321
Phone: (623) 931-5001
Fax: (623) 931-5120
Website:
Map and Directions
Authorized official contact:
Name: Salem, Eric PRESIDENT/CEO
Phone: (623) 931-5001

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1093855082
LBN Legal business name Noahs Ark Family Clinic Corp
DBA Doing business as Noahs Ark Pediatrics
Authorized official Salem, Eric PRESIDENT/CEO
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Dec 31st, 2012 - about 13 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 1093855082 NPPES
Arizona MEDICAID 337748

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