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4C MEDICAL GROUP PLC NPI 1558654384


NPI Information

NPI: 1558654384
Provider Name: 4C MEDICAL GROUP PLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 03D1079179

Address:
9590 E IRONWOOD SQUARE DR STE 125
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 455-3000
Get Directions

4C MEDICAL GROUP PLC is a multi-specialty clinic center in Scottsdale, AZ. 4C MEDICAL GROUP PLC NPI is 1558654384. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9590 E IRONWOOD SQUARE DR STE 125
SCOTTSDALE, AZ
ZIP 85258-583
Phone: (480) 455-3000
Fax: (866) 819-6115

The provider's authorized official is Emily Castillo .
The authorized official title is Medical Staff Manager and has the following contact phone number (702) 480-2550.

The CLIA number assigned to this NPI record is 03D1079179 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2011 and was last updated on 7/31/2023.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208M00000XHospitalistNo
4261QM1300XClinic/CenterMulti-SpecialtyYes

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
1625202MEDICAIDARIZONA

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.