Northern Arizona Medical Group Pllc

LBN: Northern Arizona Medical Group, Pllc
Northern Arizona Medical Group Pllc is an health care organization with primary practice located at 3555 Western Ave , Kingman AZ 86409-3011. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Northern Arizona Medical Group, Pllc can be contacted via phone (928) 757-8440, or through Neubarth, Bobbi via phone (928) 757-8440.

Contact Information

Primary practice address
3555 Western Ave Kingman AZ 86409-3011
Phone: (928) 757-8440
Fax: (928) 757-5460
Website:
Map and Directions
Authorized official contact:
Name: Neubarth, Bobbi
Phone: (928) 757-8440

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X Arizona
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 32218 Arizona

Profile Details

NPI number 1699159111
LBN Legal business name Northern Arizona Medical Group, Pllc
DBA Doing business as Northern Arizona Medical Group Pllc
Authorized official Neubarth, Bobbi
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 14th, 2015
Last updated Nov 13th, 2018 - about 6 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 1699159111 NPPES
Arizona MEDICAID 357676

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