Copper Basin Family Medicine Pllc

LBN: Copper Basin Family Medicine Pllc
Copper Basin Family Medicine Pllc is an health care organization with primary practice located at 20185 E Ocotillo Rd Suite 104, Queen Creek AZ 85242-7663. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Copper Basin Family Medicine Pllc can be contacted via phone (480) 888-2010, or through Hoose, Barbara Michelle via phone (480) 888-2010.

Contact Information

Primary practice address
20185 E Ocotillo Rd Suite 104 Queen Creek AZ 85242-7663
Phone: (480) 888-2010
Fax: (480) 888-2074
Website:
Map and Directions
Authorized official contact:
Name: Hoose, Barbara Michelle RN MSN FNP-C
Phone: (480) 888-2010

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2470 Arizona

Profile Details

NPI number 1538354188
LBN Legal business name Copper Basin Family Medicine Pllc
DBA Doing business as
Authorized official Hoose, Barbara Michelle RN MSN FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2007
Last updated May 8th, 2008 - about 18 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 1538354188 NPPES
Arizona MEDICAID 237244

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