Phoenix Children'S Ambulatory Specialty Center - Northwest Valley
LBN: Phoenix Children'S Medical Group
Phoenix Children'S Ambulatory Specialty Center - Northwest Valley is an health care organization with primary practice located at 20325 N 51St Ave Ste 116, Glendale AZ 85308-5674. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty.
Phoenix Children'S Medical Group can be contacted via phone (602) 933-0003, or through Farough, Raheel via phone (602) 933-3548.
Contact Information
Primary practice address
20325 N 51St Ave Ste 116
Glendale AZ 85308-5674
Phone: (602) 933-0003
Fax: (602) 933-6152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | SH3107 | Arizona |
Profile Details
| NPI number | 1679703441 |
|---|---|
| LBN Legal business name | Phoenix Children'S Medical Group |
| DBA Doing business as | Phoenix Children'S Ambulatory Specialty Center - Northwest Valley |
| Authorized official | Farough, Raheel |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 15th, 2009 |
| Last updated | May 22nd, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679703441 | NPPES |
| Arizona | MEDICAID | 876253 |
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