Cactus Childrens Clinic Pc

LBN: Cactus Childrens Clinic Pc
Cactus Childrens Clinic Pc is an health care organization with primary practice located at 5940 W Union Hills Dr Suite D-100, Glendale AZ 85308-1308. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Cactus Childrens Clinic Pc can be contacted via phone (602) 978-2500, or through Vargas, Jason D via phone (602) 978-2500.

Contact Information

Primary practice address
5940 W Union Hills Dr Suite D-100 Glendale AZ 85308-1308
Phone: (602) 978-2500
Fax: (602) 938-2198
Website:
Map and Directions
Authorized official contact:
Name: Vargas, Jason D Doctor of Medicine (MD)
Phone: (602) 978-2500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32657 Arizona

Profile Details

NPI number 1891850145
LBN Legal business name Cactus Childrens Clinic Pc
DBA Doing business as
Authorized official Vargas, Jason D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Feb 1st, 2011 - about 15 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 1891850145 NPPES
Arizona MEDICAID 215112001

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