ARIZONA HEALTHY CLINIC LLC NPI 1588299176

NPI Information

NPI: 1588299176
Provider Name: ARIZONA HEALTHY CLINIC LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
4344 W INDIAN SCHOOL RD STE 8
PHOENIX, AZ
ZIP 85031
Phone: (623) 594-2432
Get Directions

ARIZONA HEALTHY CLINIC LLC is an addiction medicine family medicine in Phoenix, AZ. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. ARIZONA HEALTHY CLINIC LLC NPI is 1588299176. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4344 W INDIAN SCHOOL RD STE 8
PHOENIX, AZ
ZIP 85031-939
Phone: (623) 594-2432
Fax: (623) 594-2438

The provider's authorized official is Diana Suarez .
The authorized official title is Office Manager and has the following contact phone number (623) 594-2432.

The enumeration date for this NPI number is 3/4/2020 and was last updated on 3/4/2020.

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
1	207QA0401X	Family Medicine	Addiction Medicine			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1164867099	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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