Centennial Park Clinic

LBN: Willow Oak, Inc.
Centennial Park Clinic is an health care organization with primary practice located at 1675 S. Berry Knoll Blvd , Colorado City AZ 86021-1549. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Willow Oak, Inc. can be contacted via phone (928) 875-8750, or through Yarrish, Joanne Timpson via phone (928) 875-8750.

Contact Information

Primary practice address
1675 S. Berry Knoll Blvd Colorado City AZ 86021-1549
Phone: (928) 875-8750
Fax: (928) 875-8752
Website:
Map and Directions
Authorized official contact:
Name: Yarrish, Joanne Timpson FNP, CNM
Phone: (928) 875-8750

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN083151 Arizona

Profile Details

NPI number 1265500656
LBN Legal business name Willow Oak, Inc.
DBA Doing business as Centennial Park Clinic
Authorized official Yarrish, Joanne Timpson FNP, CNM
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Jun 13th, 2008 - 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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