COMPREHENSIVE INTERVENTIONAL CARE CENTERS PLLC NPI 1548856164

NPI Information

NPI: 1548856164
Provider Name: COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
130 S 63RD ST STE 101
MESA, AZ
ZIP 85206
Phone: (480) 985-6000
Get Directions

COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC is a primary care clinic center in Mesa, AZ. COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC NPI is 1548856164. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

130 S 63RD ST STE 101
MESA, AZ
ZIP 85206-620
Phone: (480) 985-6000
Fax: (480) 985-8641

The provider's authorized official is Joel R. Rainwater .
The authorized official title is Ceo, Cmo and has the following contact phone number (480) 374-7354.

The enumeration date for this NPI number is 12/17/2020 and was last updated on 12/17/2020.

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	2085R0204X	Radiology	Vascular & Interventional Radiology	No
2	213E00000X	Podiatrist		No
3	261QP2300X	Clinic/Center	Primary Care	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: 11/14/2023

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »