Central Mohave Medical Clinics Ltd

LBN: Central Mohave Medical Clinics Ltd
Central Mohave Medical Clinics Ltd is an health care organization with primary practice located at 1915 N Stockton Hill Rd , Kingman AZ 86401-4652. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Central Mohave Medical Clinics Ltd can be contacted via phone (928) 753-6668, or through Mastakas, Michael via phone (928) 753-6668.

Contact Information

Primary practice address
1915 N Stockton Hill Rd Kingman AZ 86401-4652
Phone: (928) 753-6668
Fax: (928) 753-9797
Website:
Map and Directions
Authorized official contact:
Name: Mastakas, Michael Doctor of Medicine (MD)
Phone: (928) 753-6668

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13105 Arizona

Profile Details

NPI number 1427264480
LBN Legal business name Central Mohave Medical Clinics Ltd
DBA Doing business as
Authorized official Mastakas, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Sep 17th, 2009 - about 17 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 1427264480 NPPES
Arizona MEDICAID 217209

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