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Contact Information

AMBEST FAMILY HEALTH CLINICS, PLLC
4841 S MESA VILLAS DR APT 3
FORT MOHAVE, AZ86426-6436
 Phone: 928-577-7368
 Fax: 928-299-3373
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for AMBEST FAMILY HEALTH CLINICS, PLLC

NPI Number 1063068898
LBN Legal business name AMBEST FAMILY HEALTH CLINICS, PLLC
Authorized official OKEY ILOEGBUNAM - (OWNER / MEMBER MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2019
Last updated 03/13/2020 - About 6 years ago
Identifiers
AZ Medicaid 576901
AZ Other P22410618 CORPORATION ID
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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