Fenix Medical Llc

LBN: Fenix Medical Llc
Fenix Medical Llc is an health care organization with primary practice located at 18477 S 186Th Way Ste 102 , Queen Creek AZ 85142-9620. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Fenix Medical Llc can be contacted via phone (480) 788-0399, or through Fair, Austin via phone (480) 788-0399.

Contact Information

Primary practice address
18477 S 186Th Way Ste 102 Queen Creek AZ 85142-9620
Phone: (480) 788-0399
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fair, Austin Physical Therapist (PT)
Phone: (480) 788-0399

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1972249019
LBN Legal business name Fenix Medical Llc
DBA Doing business as
Authorized official Fair, Austin Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2022
Last updated May 11th, 2022 - 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 1972249019 NPPES
Other 1 N/A

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