OAK STREET HEALTH PHYSICIANS GROUP OF ARIZONA PLLC NPI 1063083590

NPI Information

NPI: 1063083590
Provider Name: OAK STREET HEALTH PHYSICIANS GROUP OF ARIZONA PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 03D2230750

Address:
183 W APACHE TRL
APACHE JUNCTION, AZ
ZIP 85120
Phone: (480) 618-0945
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OAK STREET HEALTH PHYSICIANS GROUP OF ARIZONA PLLC is a primary care clinic center in Apache Junction, AZ. OAK STREET HEALTH PHYSICIANS GROUP OF ARIZONA PLLC NPI is 1063083590. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

183 W APACHE TRL
APACHE JUNCTION, AZ
ZIP 85120-425
Phone: (480) 618-0945
Fax: (602) 671-6859

The provider's authorized official is Griffin Myers .
The authorized official title is Cmo and has the following contact phone number (307) 264-2085.

The CLIA number assigned to this NPI record is 03D2230750 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2021 and was last updated on 6/30/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	207Q00000X	Family Medicine		No
3	207R00000X	Internal Medicine		No
4	363L00000X	Nurse Practitioner		No
5	363LF0000X	Nurse Practitioner	Family	No
6	261QP2300X	Clinic/Center	Primary Care	Yes

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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