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Contact Information

TRINITY HEALTH & WELLNESS FAMILY PRACTICE PLLC
45 CAPRI BLVD STE F
LAKE HAVASU CITY, AZ86403-5657
 Phone: 928-234-1177
 Fax: 928-733-6259
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

261QH0100X
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for TRINITY HEALTH & WELLNESS FAMILY PRACTICE PLLC

NPI # 1295246932
LBN Legal business name TRINITY HEALTH & WELLNESS FAMILY PRACTICE PLLC
Authorized official CHRIS DIPAOLA - (FAMILY NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/21/2017
Last updated 06/16/2018 - About 8 years ago
Identifiers
AZ License # AP9834
CA Medicaid 1669836748
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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