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Contact Information

GUY R FINICUM
2800 N. 50 E.
FREDONIA, AZ86022
 Phone: 435-899-1312
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for

NPI Number 1265556336
Entity Organization
Organization subpart 1 Not specified
Enumeration date 03/16/2007
Last updated 08/22/2018 - About 8 years ago
Identifiers
AZ License # 368267
AZ License # LPC-12447
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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