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AVON HEALTH LLC NPI 1053800250


NPI Information

NPI: 1053800250
Provider Name: AVON HEALTH LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 03D2129847

Address:
12409 W INDIAN SCHOOL RD STE B210
AVONDALE, AZ
ZIP 85392
Phone: (623) 935-9920
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AVON HEALTH LLC is a clinic center in Avondale, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). AVON HEALTH LLC NPI is 1053800250. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12409 W INDIAN SCHOOL RD STE B210
AVONDALE, AZ
ZIP 85392-505
Phone: (623) 935-9920

The provider's authorized official is Thomas Morgan .
The authorized official title is Sole Owner and has the following contact phone number (623) 935-9920.

The CLIA number assigned to this NPI record is 03D2129847 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2018 and was last updated on 3/30/2021.


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
1208VP0014XPain MedicineInterventional Pain MedicineNo
2261Q00000XClinic/CenterYes

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.