Phoenix Children'S Ambulatory Specialty Center - Avondale

LBN: Phoenix Children'S Medical Group
Phoenix Children'S Ambulatory Specialty Center - Avondale is an health care organization with primary practice located at 1665 N Avondale Blvd , Avondale AZ 85392-5003. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Phoenix Children'S Medical Group can be contacted via phone (602) 933-0005, or through Farough, Raheel via phone (602) 933-3548.

Contact Information

Primary practice address
1665 N Avondale Blvd Avondale AZ 85392-5003
Phone: (602) 933-0005
Fax: (602) 933-2478
Website:
Map and Directions
Authorized official contact:
Name: Farough, Raheel
Phone: (602) 933-3548

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X SH3107 Arizona

Profile Details

NPI number 1154660959
LBN Legal business name Phoenix Children'S Medical Group
DBA Doing business as Phoenix Children'S Ambulatory Specialty Center - Avondale
Authorized official Farough, Raheel
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 14th, 2013
Last updated May 22nd, 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 1154660959 NPPES
Arizona MEDICAID 876253

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