CENTRAL MEDICAL GROUP PLLC NPI 1558809442

NPI Information

NPI: 1558809442
Provider Name: CENTRAL MEDICAL GROUP PLLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
6036 N 19TH AVE
SUITE 502
PHOENIX, AZ
ZIP 85015
Phone: (623) 738-0193
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CENTRAL MEDICAL GROUP PLLC is a multi-specialty clinic center in Phoenix, AZ. CENTRAL MEDICAL GROUP PLLC NPI is 1558809442. The provider is registered as an organization entity type.

The provider's business location address is:

6036 N 19TH AVE
SUITE 502
PHOENIX, AZ
ZIP 85015-106
Phone: (623) 738-0193
Fax: (623) 745-0801

The provider's authorized official is Sam Alnajjar .
The authorized official title is President and has the following contact phone number (248) 767-1975.

The enumeration date for this NPI number is 2/10/2017 and was last updated on 2/10/2017.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes
2	261QU0200X	Clinic/Center	Urgent Care			No

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

NPI Synchronization or Removal

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