Loop 101 Emergency Physicians Llc

LBN: Loop 101 Emergency Physicians Llc
Loop 101 Emergency Physicians Llc is an health care organization with primary practice located at 19829 N 27Th Ave , Phoenix AZ 85027-4001. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Loop 101 Emergency Physicians Llc can be contacted via phone (623) 879-6100, or through Vaughn, Karen via phone (404) 450-4684.

Contact Information

Primary practice address
19829 N 27Th Ave Phoenix AZ 85027-4001
Phone: (623) 879-6100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Karen
Phone: (404) 450-4684

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1376573378
LBN Legal business name Loop 101 Emergency Physicians Llc
DBA Doing business as
Authorized official Vaughn, Karen
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Sep 26th, 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 1376573378 NPPES
Arizona MEDICAID 114095
Arizona Other DF1751
Arizona Other AZ0448390

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