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Contact Information

ARIZONA BLEEDING DISORDERS HEALTH AND WELLNESS CENTER
821 N 5TH AVE
PHOENIX, AZ85003
 Phone: 602-680-7722
 Fax: 602-682-5135
 Website: http://www.azbleed.org
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for ARIZONA BLEEDING DISORDERS HEALTH AND WELLNESS CENTER

NPI Number 1982090338
LBN Legal business name ARIZONA BLEEDING DISORDERS HEALTH AND WELLNESS CENTER
Authorized official KIRBY HOLLIDAY - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2015
Last updated 07/06/2015 - About 11 years ago
Identifiers
AZ License # OTC6802
AZ Other OTC6802 OUTPATIENT TREATMENT CENTER LICENCE
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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