LEVEL 4 MEDICAL PROFESSIONAL CORPORATION; NPI #1023041654

Contact Information

LEVEL 4 MEDICAL PROFESSIONAL CORPORATION

11274 S FORTUNA RD
STE I 4
YUMA, AZ 85367-7847

Phone: 928-345-2150
Fax: 928-345-2151
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Emergency Medical Technician, Basic	146N00000X

Indicates primary specialty

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NPI Profile & details for LEVEL 4 MEDICAL PROFESSIONAL CORPORATION

NPI Number 1023041654

LBN Legal business name LEVEL 4 MEDICAL PROFESSIONAL CORPORATION

Authorized official DAVID SMOCK - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/08/2006

Last updated 09/11/2017 - About 9 years ago

Identifiers

License #

OTC2699

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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LEVEL 4 MEDICAL PROFESSIONAL CORPORATION

Contact Information

Specialty

Emergency Medical Technician, Basic

NPI Profile & details for LEVEL 4 MEDICAL PROFESSIONAL CORPORATION

Reviews for LEVEL 4 MEDICAL PROFESSIONAL CORPORATION