Ponderosa Pediatricss Plc
LBN: Ponderosa Pediatricss Plc
Ponderosa Pediatricss Plc is an health care organization with primary practice located at 2120 Centerpointe West Drive , Prescott AZ 86301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Ponderosa Pediatricss Plc can be contacted via phone (928) 443-1111, or through Harguess, Deann via phone (928) 443-1111.
Contact Information
Primary practice address
2120 Centerpointe West Drive
Prescott AZ 86301
Phone: (928) 443-1111
Fax: (928) 443-5554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1124243688 |
|---|---|
| LBN Legal business name | Ponderosa Pediatricss Plc |
| DBA Doing business as | |
| Authorized official | Harguess, Deann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | May 15th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124243688 | NPPES |
| Arizona | Other | 1912976879 | INDIVIDUAL NPI |
| Arizona | Other | 1144299090 | INDIVIDUAL NPI |
| Arizona | Other | 1144299678 | INDIVIDUAL NPI |
| Arizona | Other | 1336118926 | INDIVIDUAL NPI |
| Arizona | Other | 1629047097 | INDIVIDUAL NPI |
| Arizona | Other | 1881653558 | INDIVIDUAL NPI |
| Arizona | Other | 1326169657 | INDIVIDUAL NPI |
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