Meadow Park Care Center

LBN: Southwestern Medical Centers Az
Meadow Park Care Center is an health care organization with primary practice located at 864 Dougherty St , Prescott AZ 86305-1841. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Southwestern Medical Centers Az can be contacted via phone (928) 778-9667, or through Studer, Stan via phone (210) 828-5686.

Contact Information

Primary practice address
864 Dougherty St Prescott AZ 86305-1841
Phone: (928) 778-9667
Fax: (928) 771-9620
Website:
Map and Directions
Authorized official contact:
Name: Studer, Stan
Phone: (210) 828-5686

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 4602 Arizona

Profile Details

NPI number 1477635415
LBN Legal business name Southwestern Medical Centers Az
DBA Doing business as Meadow Park Care Center
Authorized official Studer, Stan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 26th, 2007 - about 17 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 1477635415 NPPES
Arizona MEDICAID 041088

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