Prescott Cardiology, Pc
LBN: Prescott Cardiology, Pc
Prescott Cardiology, Pc is an health care organization with primary practice located at 804 Ainsworth Dr Suite 102, Prescott AZ 86301-1624. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Sleep Medicine. Other Service Providers / Specialist is the primary health care specialty.
Prescott Cardiology, Pc can be contacted via phone (928) 776-0601, or through Rothrock, Douglas Wayne via phone (928) 776-0601.
Contact Information
Primary practice address
804 Ainsworth Dr Suite 102
Prescott AZ 86301-1624
Phone: (928) 776-0601
Fax: (928) 776-0620
Website:
Authorized official contact:
Name: Rothrock, Douglas Wayne Doctor of Medicine (MD)
Phone: (928) 776-0601
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 26235 | Arizona |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X |
Profile Details
| NPI number | 1902858533 |
|---|---|
| LBN Legal business name | Prescott Cardiology, Pc |
| DBA Doing business as | |
| Authorized official | Rothrock, Douglas Wayne Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Nov 17th, 2016 - about 8 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 | 1902858533 | NPPES |
| Arizona | MEDICAID | 438780 |
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