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ARIZONA MEDICOS INC NPI 1518219740


NPI Information

NPI: 1518219740
Provider Name: ARIZONA MEDICOS INC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 03D2052381

Address:
120 W CALLE DE LAS TIENDAS
GREEN VALLEY, AZ
ZIP 85614
Phone: (866) 862-6414
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ARIZONA MEDICOS INC is a clinic center in Green Valley, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ARIZONA MEDICOS INC NPI is 1518219740. The provider is registered as an organization entity type.

The provider's business location address is:

120 W CALLE DE LAS TIENDAS
GREEN VALLEY, AZ
ZIP 85614-326
Phone: (866) 862-6414
Fax: (866) 851-4817

The provider's authorized official is Dd Sande .
The authorized official title is Credentialing Specialist and has the following contact phone number (520) 409-3445.

The CLIA number assigned to this NPI record is 03D2052381 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2012 and was last updated on 10/11/2012.


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 License Number License State Primary
1261Q00000XClinic/CenterYes

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

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