Ocotillo Family Medicine, Pllc

LBN: Ocotillo Family Medicine, Pllc
Ocotillo Family Medicine, Pllc is an health care organization with primary practice located at 16515 S 40Th St Suite 109, Phoenix AZ 85048-0558. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Ocotillo Family Medicine, Pllc can be contacted via phone (480) 706-0174, or through Holland, Gil via phone (480) 706-0174.

Contact Information

Primary practice address
16515 S 40Th St Suite 109 Phoenix AZ 85048-0558
Phone: (480) 706-0174
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holland, Gil Doctor of Medicine (MD)
Phone: (480) 706-0174

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31233 Arizona

Profile Details

NPI number 1982668935
LBN Legal business name Ocotillo Family Medicine, Pllc
DBA Doing business as
Authorized official Holland, Gil Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2006
Last updated Oct 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982668935 NPPES
Arizona MEDICAID 522104
Arizona MEDICAID 776130

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