GWENDOLYN LEE HALL CNM INC; NPI #1326170317

Contact Information

GWENDOLYN LEE HALL CNM INC

261 S MAIN ST
SNOWFLAKE, AZ 85937-5316

Phone: 928-536-5377
Fax: 928-536-5377
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for GWENDOLYN LEE HALL CNM INC

NPI Number 1326170317

LBN Legal business name GWENDOLYN LEE HALL CNM INC

Authorized official GWENDOLYN HALL - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/12/2007

Last updated 07/24/2008 - About 18 years ago

Identifiers

AZ	License #	AP0244
AZ	Medicaid	490467

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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