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PREMISE HEALTH OF ARIZONA MEDICAL P.C. NPI 1265735419


NPI Information

NPI: 1265735419
Provider Name: PREMISE HEALTH OF ARIZONA MEDICAL, P.C.

Doing Business As: INTEL HEALTH FOR LIFE CENTER OC2

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 03D2197911

Address:
4500 S DOBSON ROAD
CHANDLER, AZ
ZIP 85248
Phone: (480) 715-6112
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PREMISE HEALTH OF ARIZONA MEDICAL, P.C. is a clinic center in Chandler, 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). PREMISE HEALTH OF ARIZONA MEDICAL, P.C. NPI is 1265735419. The provider is registered as an organization entity type.
The provider Is Doing Business As Intel Health For Life Center Oc2.

The provider's business location address is:

4500 S DOBSON ROAD
CHANDLER, AZ
ZIP 85248-907
Phone: (480) 715-6112
Fax: (480) 715-6481

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 03D2197911 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2010 and was last updated on 8/23/2022.


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/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: 4/28/2024

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.