Prime Medical Clinic, Plc

LBN: Prime Medical Clinic, Plc
Prime Medical Clinic, Plc is an health care organization with primary practice located at 3104 E Indian School Rd Suite 110, Phoenix AZ 85016-6889. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Prime Medical Clinic, Plc can be contacted via phone (602) 840-3584, or through Schine, Patric via phone (602) 840-3584.

Contact Information

Primary practice address
3104 E Indian School Rd Suite 110 Phoenix AZ 85016-6889
Phone: (602) 840-3584
Fax: (602) 957-2184
Website:
Map and Directions
Authorized official contact:
Name: Schine, Patric
Phone: (602) 840-3584

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP1483 Arizona

Profile Details

NPI number 1679832729
LBN Legal business name Prime Medical Clinic, Plc
DBA Doing business as
Authorized official Schine, Patric
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2012
Last updated Jul 10th, 2014 - about 10 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 1679832729 NPPES
Arizona MEDICAID 729130

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