Prescott Gastroenterology Consultants Medical Group

LBN: Prescott Gastroenterology
Prescott Gastroenterology Consultants Medical Group is an health care organization with primary practice located at 811 Ainsworth Dr Ste 103 , Prescott AZ 86301-1687. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Prescott Gastroenterology can be contacted via phone (928) 771-5548, or through De Luna, Debbie Marie via phone (928) 771-5548.

Contact Information

Primary practice address
811 Ainsworth Dr Ste 103 Prescott AZ 86301-1687
Phone: (928) 771-5548
Fax: (928) 771-5549
Website:
Map and Directions
Authorized official contact:
Name: De Luna, Debbie Marie
Phone: (928) 771-5548

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 22747 Arizona

Profile Details

NPI number 1720110984
LBN Legal business name Prescott Gastroenterology
DBA Doing business as Prescott Gastroenterology Consultants Medical Group
Authorized official De Luna, Debbie Marie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Aug 27th, 2010 - about 16 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 1720110984 NPPES
Arizona MEDICAID 176950

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