Oasis Medical Group, Llc

LBN: Oasis Medical Group, Llc
Oasis Medical Group, Llc is an health care organization with primary practice located at 2035 Mesquite Ave Suite C, Lake Havasu City AZ 86403-5894. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Oasis Medical Group, Llc can be contacted via phone (928) 453-1101, or through Mitchell, Nicole via phone (928) 453-1101.

Contact Information

Primary practice address
2035 Mesquite Ave Suite C Lake Havasu City AZ 86403-5894
Phone: (928) 453-1101
Fax: (928) 453-1171
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Nicole
Phone: (928) 453-1101

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1114239019
LBN Legal business name Oasis Medical Group, Llc
DBA Doing business as
Authorized official Mitchell, Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2010
Last updated Feb 16th, 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 1114239019 NPPES
Arizona Other L-1602910-3 AZ LLC REGISTRATION
Arizona MEDICAID 535744 AZ LLC REGISTRATION

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