Enroute Provider Services Llc

LBN: Enroute Provider Services Llc
Enroute Provider Services Llc is an health care organization with primary practice located at 17505 N 79Th Ave Ste 313A , Glendale AZ 85308-8730. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Enroute Provider Services Llc can be contacted via phone (623) 225-5875, or through Hervias, Dunedin via phone (623) 225-5875.

Contact Information

Primary practice address
17505 N 79Th Ave Ste 313A Glendale AZ 85308-8730
Phone: (623) 225-5875
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hervias, Dunedin MBA, MHA, LSSBB
Phone: (623) 225-5875

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1285485920
LBN Legal business name Enroute Provider Services Llc
DBA Doing business as
Authorized official Hervias, Dunedin MBA, MHA, LSSBB
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2024
Last updated Jun 20th, 2024 - about 2 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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