DIAMOND GIRL ROCK DYNASTY NONPROFIT MUSIC ORGANIZATION NPI 1902558513

NPI Information

NPI: 1902558513
Provider Name: DIAMOND GIRL ROCK DYNASTY NONPROFIT MUSIC ORGANIZATION
Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
7552 W WELDON AVE
PHOENIX, AZ
ZIP 85033
Phone: (480) 280-3707
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DIAMOND GIRL ROCK DYNASTY NONPROFIT MUSIC ORGANIZATION is an emergency care clinic center in Phoenix, AZ. DIAMOND GIRL ROCK DYNASTY NONPROFIT MUSIC ORGANIZATION NPI is 1902558513. The provider is registered as an organization entity type.

The provider's business location address is:

7552 W WELDON AVE
PHOENIX, AZ
ZIP 85033-721
Phone: (480) 280-3707

The provider's authorized official is Antonette Patrice Pearson .
The authorized official title is Program Director and has the following contact phone number (623) 268-7813.

The enumeration date for this NPI number is 1/25/2022 and was last updated on 1/25/2022.

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	Primary
1	174200000X	Meals		No
2	177F00000X	Lodging		No
3	251B00000X	Case Management		No
4	251S00000X	Community/Behavioral Health		No
5	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
6	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		No
7	343900000X	Non-emergency Medical Transport (VAN)		No
8	261QE0002X	Clinic/Center	Emergency 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	00000789345	MEDICAID	ARIZONA
2	00000789346	OTHER	ARIZONA	BLUECROSS BLUESHIELD
3	00000789347	OTHER	ARIZONA	AETNA

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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