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CENTER FOR FAMILY MEDICINE MDPC NPI 1063758779


NPI Information

NPI: 1063758779
Provider Name: CENTER FOR FAMILY MEDICINE MDPC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 03D2111128

Address:
301 E COTTONWOOD LN STE 2
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 426-1400
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CENTER FOR FAMILY MEDICINE MDPC is a clinic center in Casa Grande, 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). CENTER FOR FAMILY MEDICINE MDPC NPI is 1063758779. The provider is registered as an organization entity type.

The provider's business location address is:

301 E COTTONWOOD LN STE 2
CASA GRANDE, AZ
ZIP 85122-551
Phone: (520) 426-1400
Fax: (520) 426-1268

The provider's authorized official is Claude Carl Fosdick .
The authorized official title is Physician and has the following contact phone number (520) 426-1400.

The CLIA number assigned to this NPI record is 03D2111128 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/27/2012 and was last updated on 2/27/2013.


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
1261Q00000XClinic/Center13210ARIZONAYes

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.