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SUN HEALTH GRANDVIEW TERRACE LLP NPI 1295992246


NPI Information

NPI: 1295992246
Provider Name: SUN HEALTH GRANDVIEW TERRACE, LLP

Other Name: GRANDVIEW CLINIC

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

CLIA Number: 03D2100201

Address:
14515 W GRANITE VALLEY DR
SUN CITY WEST, AZ
ZIP 85375
Phone: (623) 975-8042
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SUN HEALTH GRANDVIEW TERRACE, LLP is a clinic center in Sun City West, 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). SUN HEALTH GRANDVIEW TERRACE, LLP NPI is 1295992246. The provider is registered as an organization entity type.
The provider Other Name Is Grandview Clinic.

The provider's business location address is:

14515 W GRANITE VALLEY DR
SUN CITY WEST, AZ
ZIP 85375-021
Phone: (623) 975-8042

The provider's authorized official is Bhakti Gosalia .
The authorized official title is Executive Director and has the following contact phone number (623) 975-8030.

The CLIA number assigned to this NPI record is 03D2100201 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 12/10/2015.


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/CenterOTC 3844ARIZONAYes

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
1OTC 3844OTHERARIZONAARIZONA DEPARTMENT OF HEALTH SERVICES LICENSE

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

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