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Contact Information

GENERATIONS FAMILY MEDICINE PC
13945 W GRAND AVE
SUITE A-101
SURPRISE, AZ85374-2437
 Phone: 623-537-5170
 Fax: 623-537-5274
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for GENERATIONS FAMILY MEDICINE PC

NPI Number 1821293580
LBN Legal business name GENERATIONS FAMILY MEDICINE PC
Authorized official KARLA VITALE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2007
Last updated 08/18/2008 - About 18 years ago
Identifiers
AZ License # 3874
AZ Medicaid 954140
AZ Other 7039717 AETNA
AZ Other AZ0442900 BCBS
AZ Other 2Z1716 HEALTH NET
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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