Carondelet Medical Group, Inc

LBN: Carondelet Medical Group, Inc
Carondelet Medical Group, Inc is an health care organization with primary practice located at 2202 N. Forbes Blvd , Tucson AZ 85745-1412. The organization recently has 10 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Carondelet Medical Group, Inc can be contacted via phone (520) 872-7790, or through Castellano, Christen A via phone (520) 872-7638.

Contact Information

Primary practice address
2202 N. Forbes Blvd Tucson AZ 85745-1412
Phone: (520) 872-7790
Fax: (520) 872-7929
Website:
Map and Directions
Authorized official contact:
Name: Castellano, Christen A MBA
Phone: (520) 872-7638

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Arizona
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1659326585
LBN Legal business name Carondelet Medical Group, Inc
DBA Doing business as
Authorized official Castellano, Christen A MBA
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Jun 27th, 2013 - about 13 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 1659326585 NPPES
Arizona MEDICAID 653298

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