HEART INSTITUTE OF NORTHERN ARIZONA LLC; NPI #1013189893

Contact Information

HEART INSTITUTE OF NORTHERN ARIZONA LLC

1753 AIRWAY AVE
SUITE B
KINGMAN, AZ 86409-3720

Phone: 928-692-6200
Fax: 928-692-9474
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for HEART INSTITUTE OF NORTHERN ARIZONA LLC

NPI Number 1013189893

LBN Legal business name HEART INSTITUTE OF NORTHERN ARIZONA LLC

Authorized official A KALANITHI - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/01/2008

Last updated 04/27/2009 - About 17 years ago

Identifiers

AZ	License #	OTC710
AZ	Medicaid	197211
AZ	Medicaid	930348
AZ	Other	P0203870	BLUE CROSS BLUE SHIELD OF
AZ	Other	470000205	RR MEDICARE

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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HEART INSTITUTE OF NORTHERN ARIZONA LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for HEART INSTITUTE OF NORTHERN ARIZONA LLC

Reviews for HEART INSTITUTE OF NORTHERN ARIZONA LLC