Foothills Blvd Clinic, Llc

LBN: Foothills Blvd Clinic Llc
Foothills Blvd Clinic, Llc is an health care organization with primary practice located at 11611 S Foothills Blvd Suite C, Yuma AZ 85367. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Foothills Blvd Clinic Llc can be contacted via phone (928) 342-1814, or through Gockel, Stamatia Fissas via phone (928) 342-1814.

Contact Information

Primary practice address
11611 S Foothills Blvd Suite C Yuma AZ 85367
Phone: (928) 342-1814
Fax: (928) 342-6154
Website:
Map and Directions
Authorized official contact:
Name: Gockel, Stamatia Fissas Doctor of Osteopathy (DO)
Phone: (928) 342-1814

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1801922356
LBN Legal business name Foothills Blvd Clinic Llc
DBA Doing business as Foothills Blvd Clinic, Llc
Authorized official Gockel, Stamatia Fissas Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Feb 3rd, 2012 - about 14 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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