Pimc Professsional Services

LBN: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm.
Pimc Professsional Services is an health care organization with primary practice located at 4212 N 16Th St , Phoenix AZ 85016-5319. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. can be contacted via phone (602) 263-1200, or through Tillman, Laura A via phone (602) 263-1674.

Contact Information

Primary practice address
4212 N 16Th St Phoenix AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1618
Website:
Map and Directions
Authorized official contact:
Name: Tillman, Laura A Doctor of Medicine (MD)
Phone: (602) 263-1674

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1184738049
LBN Legal business name Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm.
DBA Doing business as Pimc Professsional Services
Authorized official Tillman, Laura A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 18th, 2006
Last updated May 26th, 2021 - about 4 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 1184738049 NPPES
Arizona MEDICAID 092354
Arizona MEDICAID 418196
Arizona Other P206550
Arizona MEDICAID 022062

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