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Contact Information

COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
130 S 63RD ST STE 101
MESA, AZ85206-1620
 Phone: 480-985-6000
 Fax: 480-985-8641
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

261QP2300X
 

Podiatrist

213E00000X 48 Podiatry
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC

NPI # 1548856164
LBN Legal business name COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Authorized official JOEL RAINWATER - (CEO, CMO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/17/2020
Last updated 12/17/2020 - About 5 years 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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