PMM HEALTHCARE NPI 1225275829

NPI Information

NPI: 1225275829
Provider Name: PMM HEALTHCARE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4660 W THOMAS RD
STE-A
PHOENIX, AZ
ZIP 85031
Phone: (602) 442-4500
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PMM HEALTHCARE is a primary care clinic center in Phoenix, AZ. PMM HEALTHCARE NPI is 1225275829. The provider is registered as an organization entity type.

The provider's business location address is:

4660 W THOMAS RD
STE-A
PHOENIX, AZ
ZIP 85031-718
Phone: (602) 442-4500
Fax: (602) 442-4505

The provider's authorized official is Mark C Delalama .
The authorized official title is Office Facilitator and has the following contact phone number (602) 442-4500.

The enumeration date for this NPI number is 1/19/2009 and was last updated on 1/19/2009.

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	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	33819	ARIZONA	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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