Provider Type Icon

ARIZONA SPINE AND PAIN SPECIALISTS LLC NPI 1336509520


NPI Information

NPI: 1336509520
Provider Name: ARIZONA SPINE AND PAIN SPECIALISTS LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 03D2086604

Address:
1760 E FLORENCE BLVD STE 140
CASA GRANDE, AZ
ZIP 85122
Phone: (602) 795-8700
Get Directions

ARIZONA SPINE AND PAIN SPECIALISTS LLC is a durable medical equipment medical supplies in Casa Grande, AZ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ARIZONA SPINE AND PAIN SPECIALISTS LLC NPI is 1336509520. The provider is registered as an organization entity type.

The provider's business location address is:

1760 E FLORENCE BLVD STE 140
CASA GRANDE, AZ
ZIP 85122-765
Phone: (602) 795-8700
Fax: (602) 795-8701

The provider's authorized official is Patrick W Hogan .
The authorized official title is Member/managing Employee and has the following contact phone number (602) 795-8700.

The CLIA number assigned to this NPI record is 03D2086604 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/1/2016 and was last updated on 11/5/2018.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
1947192MEDICAIDARIZONA
2Z172895OTHERARIZONAMEDICARE PTAN

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: 11/14/2023

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.