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DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM. NPI 1184738049


NPI Information

NPI: 1184738049
Provider Name: DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM.

Doing Business As: PIMC PROFESSSIONAL SERVICES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4212 N 16TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 263-1200
Get Directions

DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM. is a family medicine in Phoenix, 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. DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM. NPI is 1184738049. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pimc Professsional Services.

The provider's business location address is:

4212 N 16TH ST
PHOENIX, AZ
ZIP 85016-319
Phone: (602) 263-1200
Fax: (602) 263-1618

The provider's authorized official is Laura A Tillman .
The authorized official title is Cmo and has the following contact phone number (602) 263-1674.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 5/26/2021.


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
1207K00000XAllergy & ImmunologyNo
2207L00000XAnesthesiologyNo
3207N00000XDermatologyNo
4207P00000XEmergency MedicineNo
5207Q00000XFamily MedicineYes
6207R00000XInternal MedicineNo
7207V00000XObstetrics & GynecologyNo
8207W00000XOphthalmologyNo
9207X00000XOrthopaedic SurgeryNo
10207Y00000XOtolaryngologyNo
11207ZP0101XPathologyAnatomic PathologyNo
12208000000XPediatricsNo
132084P0800XPsychiatry & NeurologyPsychiatryNo
142085R0202XRadiologyDiagnostic RadiologyNo
15208600000XSurgeryNo

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
1092354MEDICAIDARIZONA
2418196MEDICAIDARIZONA
3022062MEDICAIDARIZONA
4P206550OTHERARIZONABCBSAZ

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.