Freedom Health Vascular Llc

LBN: Freedom Health Vascular Llc
Freedom Health Vascular Llc is an health care organization with primary practice located at 6036 N 19Th Ave Ste 204 , Phoenix AZ 85015-2104. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Freedom Health Vascular Llc can be contacted via phone (480) 616-0356, or through Doyle, Andrew via phone (602) 740-5375.

Contact Information

Primary practice address
6036 N 19Th Ave Ste 204 Phoenix AZ 85015-2104
Fax: (480) 616-0603
Website:
Authorized official contact:
Name: Doyle, Andrew

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1740742089
LBN Legal business name Freedom Health Vascular Llc
DBA Doing business as
Authorized official Doyle, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2019
Last updated Dec 20th, 2023 - about 3 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 1740742089 NPPES
Arizona MEDICAID 598527

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