CORNER HEALTH MEDICAL GROUP P A; NPI #1205689171

Contact Information

CORNER HEALTH MEDICAL GROUP P A

2 N CENTRAL AVE
PHOENIX, AZ 85004-2322

Phone: 602-123-4567
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	261QP2300X
Home Health	251E00000X	A4[11]	Home Health Agency
Multi-Specialty	261QM1300X	70	Clinic or Group Practice
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Skilled Nursing Facility	314000000X	A1[8]	Skilled Nursing Facility

Indicates primary specialty

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NPI Profile & details for CORNER HEALTH MEDICAL GROUP P A

NPI #	`1205689171`
LBN Legal business name	CORNER HEALTH MEDICAL GROUP P A
Authorized official	LAVANYA SUNDER - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/09/2024
Last updated	10/08/2024 - More than a year ago
Identifiers	n/a

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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