Star Clinic Llc

LBN: Star Clinic Llc
Star Clinic Llc is an health care organization with primary practice located at 14155 N 83Rd Ave Building 6, Peoria AZ 85381. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is the primary health care specialty. Star Clinic Llc can be contacted via phone (623) 223-0689, or through Vanderham, Sharon via phone (480) 268-9195.

Contact Information

Primary practice address
14155 N 83Rd Ave Building 6 Peoria AZ 85381
Phone: (623) 223-0689
Fax: (480) 289-2712
Website:
Map and Directions
Authorized official contact:
Name: Vanderham, Sharon
Phone: (480) 268-9195

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 22281 Arizona
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 38152 Arizona

Profile Details

NPI number 1932608106
LBN Legal business name Star Clinic Llc
DBA Doing business as
Authorized official Vanderham, Sharon
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2018
Last updated Apr 3rd, 2018 - about 7 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 1932608106 NPPES
Arizona MEDICAID 335672

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