Desert Ridge Medical Llc

LBN: Desert Ridge Medical Llc
Desert Ridge Medical Llc is an health care organization with primary practice located at 26224 N Tatum Blvd Ste 11 , Phoenix AZ 85050-7500. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Desert Ridge Medical Llc can be contacted via phone (480) 634-6400, or through Waychoff, Challen via phone (480) 634-6400.

Contact Information

Primary practice address
26224 N Tatum Blvd Ste 11 Phoenix AZ 85050-7500
Phone: (480) 634-6400
Fax: (480) 404-9649
Website:
Map and Directions
Authorized official contact:
Name: Waychoff, Challen
Phone: (480) 634-6400

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1265930614
LBN Legal business name Desert Ridge Medical Llc
DBA Doing business as
Authorized official Waychoff, Challen
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2018
Last updated Jan 30th, 2018 - about 8 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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