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Contact Information

NORTHERN ARIZONA MEDICAL GROUP, PLLC
3555 WESTERN AVE
KINGMAN, AZ86409-3011
 Phone: 928-757-8440
 Fax: 928-757-5460
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for NORTHERN ARIZONA MEDICAL GROUP, PLLC

NPI # 1699159111
LBN Legal business name NORTHERN ARIZONA MEDICAL GROUP, PLLC
Authorized official BOBBI NEUBARTH - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/14/2015
Last updated 11/13/2018 - About 8 years ago
Identifiers
AZ License # 32218
AZ Medicaid 357676
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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