District Medical Group, Inc

LBN: District Medical Group, Inc
District Medical Group, Inc is an health care organization with primary practice located at 3141 N 3Rd Ave , Phoenix AZ 85013-4345. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. District Medical Group, Inc can be contacted via phone (602) 914-1520, or through Cordeiro, Teresa via phone (602) 470-5519.

Contact Information

Primary practice address
3141 N 3Rd Ave Phoenix AZ 85013-4345
Phone: (602) 914-1520
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cordeiro, Teresa
Phone: (602) 470-5519

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1407106719
LBN Legal business name District Medical Group, Inc
DBA Doing business as
Authorized official Cordeiro, Teresa
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 13th, 2012
Last updated Feb 19th, 2020 - about 6 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 1407106719 NPPES
Arizona MEDICAID 475747

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