Mazimo Azucena Afh

LBN: Mazimo Azucena Afh
Mazimo Azucena Afh is an health care organization with primary practice located at 10522 19Th Pl W , Everett WA 98204-3663. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Mazimo Azucena Afh can be contacted via phone (425) 322-5328, or through Azucena, Maximo Dimaunahan via phone (425) 322-5328.

Contact Information

Primary practice address
10522 19Th Pl W Everett WA 98204-3663
Phone: (425) 322-5328
Fax: (425) 322-5328
Website:
Map and Directions
Authorized official contact:
Name: Azucena, Maximo Dimaunahan
Phone: (425) 322-5328

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 751038 Washington

Profile Details

NPI number 1205230489
LBN Legal business name Mazimo Azucena Afh
DBA Doing business as
Authorized official Azucena, Maximo Dimaunahan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2014
Last updated Oct 16th, 2014 - about 12 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 1205230489 NPPES
Washington MEDICAID 1115019

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