Colorado River Pediatrics, Llc
LBN: Colorado River Pediatrics, Llc
Colorado River Pediatrics, Llc is an health care organization with primary practice located at 1611 Joy Lane , Fort Mohave AZ 86426. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Colorado River Pediatrics, Llc can be contacted via phone (928) 788-8000, or through Barton, Alan via phone (928) 788-8000.
Contact Information
Primary practice address
1611 Joy Lane
Fort Mohave AZ 86426
Phone: (928) 788-8000
Fax: (928) 788-8008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 29312 | Arizona |
Profile Details
| NPI number | 1235410077 |
|---|---|
| LBN Legal business name | Colorado River Pediatrics, Llc |
| DBA Doing business as | |
| Authorized official | Barton, Alan Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 7th, 2011 |
| Last updated | Sep 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235410077 | NPPES |
| Arizona | MEDICAID | 590837 |
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