HEALTHY LIFE FAMILY MEDICINE PLC NPI 1750416400

NPI Information

NPI: 1750416400
Provider Name: HEALTHY LIFE FAMILY MEDICINE, PLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 03D1073443

Address:
750 N ESTRELLA PKWY
SUITE 40
GOODYEAR, AZ
ZIP 85338
Phone: (602) 574-1890
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HEALTHY LIFE FAMILY MEDICINE, PLC is a primary care clinic center in Goodyear, AZ. HEALTHY LIFE FAMILY MEDICINE, PLC NPI is 1750416400. The provider is registered as an organization entity type.

The provider's business location address is:

750 N ESTRELLA PKWY
SUITE 40
GOODYEAR, AZ
ZIP 85338-272
Phone: (602) 574-1890

The provider's authorized official is John Monroe .
The authorized official title is Ceo and has the following contact phone number (602) 574-1890.

The CLIA number assigned to this NPI record is 03D1073443 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/22/2007 and was last updated on 5/22/2019.

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	261QP2300X	Clinic/Center	Primary Care	35067	ARIZONA	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

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