ALAGA HEALTH CHRONIC CARE MANAGEMENT LLC NPI 1215631205

NPI Information

NPI: 1215631205
Provider Name: ALAGA HEALTH CHRONIC CARE MANAGEMENT LLC

Doing Business As: ALAGA HEALTH

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
3250 GATEWAY BLVD STE 110
PRESCOTT, AZ
ZIP 86303
Phone: (928) 350-7900
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ALAGA HEALTH CHRONIC CARE MANAGEMENT LLC is a health service clinic center in Prescott, AZ. ALAGA HEALTH CHRONIC CARE MANAGEMENT LLC NPI is 1215631205. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Alaga Health.

The provider's business location address is:

3250 GATEWAY BLVD STE 110
PRESCOTT, AZ
ZIP 86303-846
Phone: (928) 350-7900

The provider's authorized official is John Michael Mata .
The authorized official title is Administrator and has the following contact phone number (708) 248-0049.

The enumeration date for this NPI number is 3/27/2023 and was last updated on 1/31/2024.

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	1835P2201X	Pharmacist	Ambulatory Care	No
2	261Q00000X	Clinic/Center		No
3	363L00000X	Nurse Practitioner		No
4	363LA2200X	Nurse Practitioner	Adult Health	No
5	363LG0600X	Nurse Practitioner	Gerontology	No
6	363LP2300X	Nurse Practitioner	Primary Care	No
7	261QH0100X	Clinic/Center	Health Service	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: 5/5/2024

NPI Synchronization or Removal

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