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DESERT FOUNTAIN MEDICAL INC NPI 1558863886


NPI Information

NPI: 1558863886
Provider Name: DESERT FOUNTAIN MEDICAL INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
17100 E SHEA BLVD STE 320
FOUNTAIN HILLS, AZ
ZIP 85268
Phone: (480) 816-8300
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DESERT FOUNTAIN MEDICAL INC is a general practice in Fountain Hills, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DESERT FOUNTAIN MEDICAL INC NPI is 1558863886. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17100 E SHEA BLVD STE 320
FOUNTAIN HILLS, AZ
ZIP 85268-654
Phone: (480) 816-8300
Fax: (480) 816-4016

The provider's authorized official is Grant Andres .
The authorized official title is Executive Director and has the following contact phone number (480) 816-8300.

The enumeration date for this NPI number is 3/2/2018 and was last updated on 3/2/2018.


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
1208D00000XGeneral PracticeYes

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.