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Contact Information

BLUE MANITOU INC
7400 E OSBORN RD
SCOTTSDALE, AZ85251-6432
 Phone: 480-545-2610
 Fax: 480-545-2673
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for BLUE MANITOU INC

NPI Number 1467690438
LBN Legal business name BLUE MANITOU INC
Authorized official KRISTIN HUBLEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2009
Last updated 03/02/2016 - About 10 years ago
Identifiers
AZ License # RN079151
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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