Mary C. Meadows, N.D.

LBN: Seaside Sanctuary Clinic Llc
Mary C. Meadows, N.D. is an health care organization with primary practice located at 2401 W Route 66 #24, Flagstaff AZ 86001-8761. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Seaside Sanctuary Clinic Llc can be contacted via phone (361) 463-1353, or through Meadows, Mary C via phone (361) 463-1353.

Contact Information

Primary practice address
2401 W Route 66 #24 Flagstaff AZ 86001-8761
Phone: (361) 463-1353
Fax: (215) 261-0666
Website:
Map and Directions
Authorized official contact:
Name: Meadows, Mary C N.D.
Phone: (361) 463-1353

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X K6250 Texas

Profile Details

NPI number 1285784082
LBN Legal business name Seaside Sanctuary Clinic Llc
DBA Doing business as Mary C. Meadows, N.D.
Authorized official Meadows, Mary C N.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1285784082 NPPES
Texas Other 0033LT BCBS

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