Innovative Healthcare Management , Llc

LBN: Innovative Healthcare Management , Llc
Innovative Healthcare Management , Llc is an health care organization with primary practice located at 11611 N 40Th Ave , Phoenix AZ 85029-3069. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Innovative Healthcare Management , Llc can be contacted via phone (480) 478-0520, or through Dryer, Katrina Marie via phone (480) 478-0520.

Contact Information

Primary practice address
11611 N 40Th Ave Phoenix AZ 85029-3069
Phone: (480) 478-0520
Fax: (480) 478-0633
Website:
Map and Directions
Authorized official contact:
Name: Dryer, Katrina Marie Certified Family Nurse Practitioner (CFNP)
Phone: (480) 478-0520

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2677 Arizona

Profile Details

NPI number 1861622722
LBN Legal business name Innovative Healthcare Management , Llc
DBA Doing business as
Authorized official Dryer, Katrina Marie Certified Family Nurse Practitioner (CFNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2009
Last updated Jul 19th, 2011 - about 15 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 1861622722 NPPES
Arizona Other Z131830 MEDICARE PTAN
Arizona MEDICAID 320915 MEDICARE PTAN

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