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LEVEL 4 MEDICAL PROFESSIONAL CORPORATION NPI 1023041654


NPI Information

NPI: 1023041654
Provider Name: LEVEL 4 MEDICAL PROFESSIONAL CORPORATION

Doing Business As: FOOTHILLS WALK-IN MEDICAL AND URGENT CARE

Classification: Emergency Medical Technician, Basic - 146N00000X
Entity Type: Organization
Address:
11274 S FORTUNA RD
STE I 4
YUMA, AZ
ZIP 85367
Phone: (928) 345-2150
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LEVEL 4 MEDICAL PROFESSIONAL CORPORATION is an emergency medical technician basic in Yuma, AZ. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. LEVEL 4 MEDICAL PROFESSIONAL CORPORATION NPI is 1023041654. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Foothills Walk-in Medical And Urgent Care.

The provider's business location address is:

11274 S FORTUNA RD
STE I 4
YUMA, AZ
ZIP 85367-847
Phone: (928) 345-2150
Fax: (928) 345-2151

The provider's authorized official is David E Smock .
The authorized official title is Medical Director and has the following contact phone number (928) 345-2150.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 9/11/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1146N00000XEmergency Medical Technician, BasicOTC2699ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z28500MEDICARE ID-TYPE UNSPECIFIEDARIZONAMEDICARE PROVIDER NUMBER

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: 4/28/2024

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