Kachina Family Medicine
LBN: Kachina Family Practice Pa
Kachina Family Medicine is an health care organization with primary practice located at 16611 S 40Th St Suite 120, Phoenix AZ 85048. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Kachina Family Practice Pa can be contacted via phone (480) 706-4100, or through Fischbeck, Jaron Joseph via phone (480) 706-4100.
Contact Information
Primary practice address
16611 S 40Th St Suite 120
Phoenix AZ 85048
Phone: (480) 706-4100
Fax: (480) 706-2600
Website:
Authorized official contact:
Name: Fischbeck, Jaron Joseph Doctor of Medicine (MD)
Phone: (480) 706-4100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1467508432 |
|---|---|
| LBN Legal business name | Kachina Family Practice Pa |
| DBA Doing business as | Kachina Family Medicine |
| Authorized official | Fischbeck, Jaron Joseph Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Apr 30th, 2020 - about 6 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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