Providence General Medicine

LBN: Providence General Medicine
Providence General Medicine is an health care organization with primary practice located at 1701 W Glendale Ave , Phoenix AZ 85021-9701. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Providence General Medicine can be contacted via phone (602) 246-9090, or through Marquez, Blanca via phone (602) 254-7077.

Contact Information

Primary practice address
1701 W Glendale Ave Phoenix AZ 85021-9701
Phone: (602) 246-9090
Fax: (602) 246-9867
Website:
Map and Directions
Authorized official contact:
Name: Marquez, Blanca
Phone: (602) 254-7077

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X AP3603 Arizona

Profile Details

NPI number 1508180043
LBN Legal business name Providence General Medicine
DBA Doing business as
Authorized official Marquez, Blanca
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2010
Last updated Mar 25th, 2010 - about 14 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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