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Contact Information

BELLA HEALTHCARE LLC
1001 E WARNER RD
STE 107
TEMPE, AZ85284-3224
 Phone: 480-897-3300
 Fax: 480-897-3312
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BELLA HEALTHCARE LLC

NPI # 1386065183
LBN Legal business name BELLA HEALTHCARE LLC
Authorized official JEREMY BUCKNER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2013
Last updated 12/20/2013 - About 12 years ago
Identifiers
AZ Medicaid 751579
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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