Palo Verde Family Care, Inc.
LBN: Medcom Medical, Llc
Palo Verde Family Care, Inc. is an health care organization with primary practice located at 108 South Broad St. , Globe AZ 85501. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Medcom Medical, Llc can be contacted via phone (928) 425-6592, or through Andrade, Oscar Ernesto via phone (928) 402-0952.
Contact Information
Primary practice address
108 South Broad St.
Globe AZ 85501
Phone: (928) 425-6592
Fax: (928) 425-7566
Website:
Authorized official contact:
Name: Andrade, Oscar Ernesto Doctor of Medicine (MD)
Phone: (928) 402-0952
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27758 | Arizona |
Profile Details
| NPI number | 1205962792 |
|---|---|
| LBN Legal business name | Medcom Medical, Llc |
| DBA Doing business as | Palo Verde Family Care, Inc. |
| Authorized official | Andrade, Oscar Ernesto Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Oct 19th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205962792 | NPPES |
| Arizona | Other | 1225107667 | SHERIDA CARLSON PA NPI |
| Arizona | MEDICAID | 475592 | SHERIDA CARLSON PA NPI |
| Arizona | Other | 1871545905 | SHERIDA CARLSON PA NPI |
| Arizona | Other | 1275685521 | SHERIDA CARLSON PA NPI |
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