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PROGRESSIVE HEALTHCARE GROUP INC NPI 1083735799


NPI Information

NPI: 1083735799
Provider Name: PROGRESSIVE HEALTHCARE GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
300 S OCOTILLO AVE
BENSON, AZ
ZIP 85602
Phone: (520) 586-9111
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PROGRESSIVE HEALTHCARE GROUP INC is a family medicine in Benson, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROGRESSIVE HEALTHCARE GROUP INC NPI is 1083735799. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 S OCOTILLO AVE
BENSON, AZ
ZIP 85602-401
Phone: (520) 586-9111
Fax: (520) 586-9091

The provider's authorized official is Michael R Gray .
The authorized official title is Ceo and has the following contact phone number (520) 586-9111.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 2/14/2013.


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
1207Q00000XFamily MedicineOTC-3070ARIZONAYes

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
1Z85098MEDICARE PINARIZONA
2D43993MEDICARE UPINARIZONA
3Q27214MEDICARE UPINARIZONA
4Z79699MEDICARE PINARIZONA
5I21087MEDICARE UPINARIZONA
6Z27845MEDICARE PINARIZONA
7Z28120MEDICARE PINARIZONA

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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