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Contact Information

CICMF LLC.
14362 N FRANK LLOYD WRIGHT BLVD STE 1310
SCOTTSDALE, AZ85260-8878
 Phone: 480-477-7750
 Fax: 480-939-4921
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Air Transport

3416A0800X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for CICMF LLC.

NPI Number 1942726187
LBN Legal business name CICMF LLC.
Authorized official JORDYN SHIELDS - (DIRECTOR OF BUSINESS DEVELOPMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
AZ License # 700790
AZ Medicaid 223467
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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