Sierra Blanca Clinic, Ltd.
LBN: Sierra Blanca Clinic, Ltd.
Sierra Blanca Clinic, Ltd. is an health care organization with primary practice located at 2963 W White Mountain Blvd , Lakeside AZ 85929-6257. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Sierra Blanca Clinic, Ltd. can be contacted via phone (928) 368-0765, or through Garskof, Mark Mitchell via phone (928) 368-0765.
Contact Information
Primary practice address
2963 W White Mountain Blvd
Lakeside AZ 85929-6257
Phone: (928) 368-0765
Fax:
Website:
Authorized official contact:
Name: Garskof, Mark Mitchell Doctor of Medicine (MD)
Phone: (928) 368-0765
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10885 | Arizona |
Profile Details
NPI number | 1801084827 |
---|---|
LBN Legal business name | Sierra Blanca Clinic, Ltd. |
DBA Doing business as | |
Authorized official | Garskof, Mark Mitchell Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 4th, 2007 |
Last updated | Dec 27th, 2016 - about 9 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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