ARIZONA INSTITUTE OF MEDICINE AND SURGERY NPI 1881680122

NPI Information

NPI: 1881680122
Provider Name: ARIZONA INSTITUTE OF MEDICINE AND SURGERY

Other Name: OUTPATIENT TREATMENT CTR

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
3636 STOCKTON HILL ROAD
KINGMAN, AZ
ZIP 86409
Phone: (928) 757-3680
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ARIZONA INSTITUTE OF MEDICINE AND SURGERY is an urgent care clinic center in Kingman, AZ. ARIZONA INSTITUTE OF MEDICINE AND SURGERY NPI is 1881680122. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Outpatient Treatment Ctr.

The provider's business location address is:

3636 STOCKTON HILL ROAD
KINGMAN, AZ
ZIP 86409
Phone: (928) 757-3680
Fax: (928) 757-3614

The provider's authorized official is Azam S. Khan .
The authorized official title is Chief Administrative Officer and has the following contact phone number (928) 757-3636.

The enumeration date for this NPI number is 9/22/2005 and was last updated on 6/5/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	OTC660	ARIZONA	No
2	2085R0202X	Radiology	Diagnostic Radiology	OTC660	ARIZONA	No
3	291U00000X	Clinical Medical Laboratory				No
4	261QU0200X	Clinic/Center	Urgent Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	167933	MEDICAID	ARIZONA

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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