FOUNTAIN HILLS MEDICAL CLINIC PC; NPI #1457603771

Contact Information

FOUNTAIN HILLS MEDICAL CLINIC PC

16605 E PALISADES BLVD
FOUNTAIN HILLS, AZ 85268-3716

Phone: 480-837-4300
Fax: 480-837-8302
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for FOUNTAIN HILLS MEDICAL CLINIC PC

NPI # 1457603771

LBN Legal business name FOUNTAIN HILLS MEDICAL CLINIC PC

Authorized official DAVID GOTTFRIED - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/10/2012

Last updated 01/15/2013 - About 13 years ago

Identifiers

License #

7914

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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