DENOVA COLLABORATIVE HEALTH LLC NPI 1609300854

NPI Information

NPI: 1609300854
Provider Name: DENOVA COLLABORATIVE HEALTH, LLC

Doing Business As: DENOVA COLLABORATIVE HEALTH, LLC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3330 N 2ND ST STE 601
PHOENIX, AZ
ZIP 85012
Phone: (602) 230-7373
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DENOVA COLLABORATIVE HEALTH, LLC is a multi-specialty clinic center in Phoenix, AZ. DENOVA COLLABORATIVE HEALTH, LLC NPI is 1609300854. The provider is registered as an organization entity type.
The provider Is Doing Business As Denova Collaborative Health, Llc.

The provider's business location address is:

3330 N 2ND ST STE 601
PHOENIX, AZ
ZIP 85012-395
Phone: (602) 230-7373
Fax: (602) 682-7455

The provider's authorized official is Graham Johnson .
The authorized official title is Ceo and has the following contact phone number (602) 230-7373.

The enumeration date for this NPI number is 4/14/2017 and was last updated on 9/7/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	261QM1300X	Clinic/Center	Multi-Specialty			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: 4/28/2024

NPI Synchronization or Removal

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