Village Of Oak Creek Medical Clinic Llc

LBN: Village Of Oak Creek Medical Clinic Llc
Village Of Oak Creek Medical Clinic Llc is an health care organization with primary practice located at 6486 Hwy 179 Ste 107, Sedona AZ 86351-7993. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty. Village Of Oak Creek Medical Clinic Llc can be contacted via phone (928) 284-3236, or through Zaretzky, Barry D via phone (928) 284-3236.

Contact Information

Primary practice address
6486 Hwy 179 Ste 107 Sedona AZ 86351-7993
Fax: (928) 284-2531
Website:
Authorized official contact:
Name: Zaretzky, Barry D Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23452 Arizona
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 23452 Arizona

Profile Details

NPI number 1760623870
LBN Legal business name Village Of Oak Creek Medical Clinic Llc
DBA Doing business as
Authorized official Zaretzky, Barry D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2009
Last updated May 19th, 2009 - about 15 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 1760623870 NPPES
Arizona MEDICAID 357287

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