Prevencare Health Services, Llc

LBN: Prevencare Health Services, Llc
Prevencare Health Services, Llc is an health care organization with primary practice located at 750 Bartow Dr Ste 16 , Sierra Vista AZ 85635-1833. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Prevencare Health Services, Llc can be contacted via phone (858) 449-3798, or through Lee, Erick via phone (858) 449-3798.

Contact Information

Primary practice address
750 Bartow Dr Ste 16 Sierra Vista AZ 85635-1833
Phone: (858) 449-3798
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Erick ERICK LEE
Phone: (858) 449-3798

Health care specialties

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

Profile Details

NPI number 1447864830
LBN Legal business name Prevencare Health Services, Llc
DBA Doing business as
Authorized official Lee, Erick ERICK LEE
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2020
Last updated Sep 2nd, 2020 - about 6 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 1447864830 NPPES
Arizona MEDICAID 441076

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