Apache Junction Pediatrics

LBN: Apache Junction Pediatrics
Apache Junction Pediatrics is an health care organization with primary practice located at 1075 S Idaho Rd Suite 206, Apache Junction AZ 85219-6496. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Apache Junction Pediatrics can be contacted via phone (480) 889-1234, or through Gradle, Janet via phone (480) 889-1234.

Contact Information

Primary practice address
1075 S Idaho Rd Suite 206 Apache Junction AZ 85219-6496
Phone: (480) 889-1234
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gradle, Janet Certified Pediatric Nurse Practitioner (CPNP)
Phone: (480) 889-1234

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34596 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27900 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X AP0241 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34587 Arizona

Profile Details

NPI number 1588866453
LBN Legal business name Apache Junction Pediatrics
DBA Doing business as
Authorized official Gradle, Janet Certified Pediatric Nurse Practitioner (CPNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588866453 NPPES
Arizona Other AZ0763370 JB BC ID
Arizona MEDICAID 088674 JB BC ID
Arizona MEDICAID 971409 JB BC ID
Arizona MEDICAID F14456 JB BC ID
Arizona MEDICAID 524729 JB BC ID
Arizona Other AZ0427690 JB BC ID
Arizona MEDICAID 907397 JB BC ID

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