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CLOVE LLC NPI 1013491166


NPI Information

NPI: 1013491166
Provider Name: CLOVE LLC

Doing Business As: GRAYHAWK FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D1021736

Address:
10051 E DYNAMITE BLVD STE 110
SCOTTSDALE, AZ
ZIP 85262
Phone: (480) 473-7003
Get Directions

CLOVE LLC is a family medicine in Scottsdale, 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. CLOVE LLC NPI is 1013491166. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grayhawk Family Practice.

The provider's business location address is:

10051 E DYNAMITE BLVD STE 110
SCOTTSDALE, AZ
ZIP 85262-239
Phone: (480) 473-7003
Fax: (480) 473-4499

The provider's authorized official is Arnetta Blackwell .
The authorized official title is Ceo and has the following contact phone number (480) 473-7003.

The CLIA number assigned to this NPI record is 03D1021736 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/24/2018 and was last updated on 5/22/2023.


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 MedicineYes

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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