Arizona Avenue Clinic

LBN: The Excel Group
Arizona Avenue Clinic is an health care organization with primary practice located at 2501 S Arizona Ave , Yuma AZ 85364-7332. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. The Excel Group can be contacted via phone (928) 341-4300, or through Carr, Carol A. via phone (928) 341-0335.

Contact Information

Primary practice address
2501 S Arizona Ave Yuma AZ 85364-7332
Fax: (928) 344-4456
Website:
Authorized official contact:
Name: Carr, Carol A.

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X BH-2629 Arizona

Profile Details

NPI number 1609959311
LBN Legal business name The Excel Group
DBA Doing business as Arizona Avenue Clinic
Authorized official Carr, Carol A.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Oct 15th, 2007 - about 18 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 1609959311 NPPES
Arizona MEDICAID 989535

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