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Contact Information

NOAHS ARK FAMILY CLINIC CORP
6707 N 19TH AVE STE 105
PHOENIX, AZ85015-1105
 Phone: 480-247-7691
 Fax: 480-919-7040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Developmental - Behavioral Pediatrics

2080P0006X 37 Physician/Pediatric Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Medical Specialty

261QM2500X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for NOAHS ARK FAMILY CLINIC CORP

NPI Number 1093855082
LBN Legal business name NOAHS ARK FAMILY CLINIC CORP
Authorized official DANNY NGUYEN - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2007
Last updated 12/10/2024 - More than a year ago
Identifiers
AZ Medicaid 337748
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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