COMPREHENSIVE INTERVENTIONAL CARE CENTERS PLLC NPI 1548856164

NPI Information

  • NPI: 1548856164
  • Provider Name: COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 130 S 63RD ST STE 101
    MESA, AZ
    ZIP 85206
  • Phone: (480) 985-6000

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NPI Details

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 License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyNo
2213E00000XPodiatristNo
3261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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