Phoenix Mountain Nursing Center Inc

LBN: Phoenix Mountain Nursing Center Inc
Phoenix Mountain Nursing Center Inc is an health care organization with primary practice located at 13232 N Tatum Blvd , Phoenix AZ 85032-6459. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Phoenix Mountain Nursing Center Inc can be contacted via phone (602) 996-5200, or through Harkins, C Bruce via phone (816) 734-0533.

Contact Information

Primary practice address
13232 N Tatum Blvd Phoenix AZ 85032-6459
Phone: (602) 996-5200
Fax: (602) 996-6160
Website:
Map and Directions
Authorized official contact:
Name: Harkins, C Bruce
Phone: (816) 734-0533

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NC1326 Arizona

Profile Details

NPI number 1902899933
LBN Legal business name Phoenix Mountain Nursing Center Inc
DBA Doing business as
Authorized official Harkins, C Bruce
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1902899933 NPPES
Arizona MEDICAID 447228
Arizona Other AZ0402260
Arizona Other 4307000M
Arizona Other 1298610001

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