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Contact Information

NCA HOLDINGS OF ARIZONA, LLC
13090 N 94TH DR
SUITE 101
PEORIA, AZ85381-4256
 Phone: 623-977-2707
 Fax: 623-977-2331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for NCA HOLDINGS OF ARIZONA, LLC

NPI Number 1184973018
LBN Legal business name NCA HOLDINGS OF ARIZONA, LLC
Authorized official ALI ALAVI - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/06/2012
Last updated 12/27/2013 - About 12 years ago
Identifiers
AZ Medicaid 746289
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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