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Contact Information

NORTHSIGHT RECOVERY LLC
1440 E SOUTHERN AVE
TEMPE, AZ85282-5612
 Phone: 480-544-0283
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for NORTHSIGHT RECOVERY LLC

NPI # 1477212306
LBN Legal business name NORTHSIGHT RECOVERY LLC
Authorized official JEREMY BLOOM - (MEMBER/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/08/2021
Last updated 04/20/2023 - About 3 years ago
Identifiers
AZ Medicaid 109815
AZ Other 03D2245576 CLIA
AZ Other OTC11514 FACILITY STATE LICENSE
AZ Other 687990 JOINT COMISSION
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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