CITIZENS INTEGRATED MEDICAL SERVICES LLC NPI 1497379069

NPI Information

NPI: 1497379069
Provider Name: CITIZENS INTEGRATED MEDICAL SERVICES LLC

Doing Business As: CIMSAZ

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1530 E WILLIAMS FIELD RD STE 201
GILBERT, AZ
ZIP 85295
Phone: (480) 406-1132
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CITIZENS INTEGRATED MEDICAL SERVICES LLC is a primary care clinic center in Gilbert, AZ. CITIZENS INTEGRATED MEDICAL SERVICES LLC NPI is 1497379069. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cimsaz.

The provider's business location address is:

1530 E WILLIAMS FIELD RD STE 201
GILBERT, AZ
ZIP 85295-825
Phone: (480) 406-1132
Fax: (480) 613-2912

The provider's authorized official is Noah Sang .
The authorized official title is Administrator and has the following contact phone number (480) 992-1455.

The CLIA number assigned to this NPI record is 03D2258376 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2020 and was last updated on 10/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	No
2	363LF0000X	Nurse Practitioner	Family	No
3	261QP2300X	Clinic/Center	Primary Care	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1457839896	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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