Prescott Mile High Primary Care

LBN: Physician Business Services, Llc
Prescott Mile High Primary Care is an health care organization with primary practice located at 1040 Whipple St Suite 209, Prescott AZ 86305-1613. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Physician Business Services, Llc can be contacted via phone (928) 776-6400, or through Krantz, Dieter W. via phone (928) 772-2591.

Contact Information

Primary practice address
1040 Whipple St Suite 209 Prescott AZ 86305-1613
Phone: (928) 776-6400
Fax: (928) 776-6410
Website:
Map and Directions
Authorized official contact:
Name: Krantz, Dieter W.
Phone: (928) 772-2591

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1275526402
LBN Legal business name Physician Business Services, Llc
DBA Doing business as Prescott Mile High Primary Care
Authorized official Krantz, Dieter W.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2005
Last updated Aug 30th, 2007 - about 17 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 1275526402 NPPES
Arizona MEDICAID 553653

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