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PHYSICIAN BUSINESS SERVICES LLC NPI 1275526402


NPI Information

NPI: 1275526402
Provider Name: PHYSICIAN BUSINESS SERVICES, LLC

Doing Business As: PRESCOTT MILE HIGH PRIMARY CARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1040 WHIPPLE ST
SUITE 209
PRESCOTT, AZ
ZIP 86305
Phone: (928) 776-6400
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PHYSICIAN BUSINESS SERVICES, LLC is a primary care clinic center in Prescott, AZ. PHYSICIAN BUSINESS SERVICES, LLC NPI is 1275526402. The provider is registered as an organization entity type.
The provider Is Doing Business As Prescott Mile High Primary Care.

The provider's business location address is:

1040 WHIPPLE ST
SUITE 209
PRESCOTT, AZ
ZIP 86305-613
Phone: (928) 776-6400
Fax: (928) 776-6410

The provider's authorized official is Dieter W. Krantz .
The authorized official title is Vice President and has the following contact phone number (928) 772-2591.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 8/30/2007.


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
1261QP2300XClinic/CenterPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z64419MEDICARE PINARIZONA
2553653MEDICAIDARIZONA

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

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