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Contact Information

MED ONE HEALTHCARE LLC
2401 W PEORIA AVE
STE 100
PHOENIX, AZ85029
 Phone: 480-835-9100
 Fax: 480-835-9104
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MED ONE HEALTHCARE LLC

NPI Number 1295798627
LBN Legal business name MED ONE HEALTHCARE LLC
Authorized official BRIAN MURPHY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/07/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
AZ License # 20031057
AZ License # 4009
AZ Medicaid 849698
Other 0354352 NCPDP PROVIDER IDENTIFICATION NUMBER
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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