Providence Pediatrics

LBN: Providence Pediatrics
Providence Pediatrics is an health care organization with primary practice located at 9100 N Central Ave Suite E, Phoenix AZ 85020-2430. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Providence Pediatrics can be contacted via phone (602) 997-9898, or through Rodriguez, Lourdes via phone (602) 254-7077.

Contact Information

Primary practice address
9100 N Central Ave Suite E Phoenix AZ 85020-2430
Phone: (602) 997-9898
Fax: (602) 997-9901
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez, Lourdes
Phone: (602) 254-7077

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1962673772
LBN Legal business name Providence Pediatrics
DBA Doing business as
Authorized official Rodriguez, Lourdes
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2008
Last updated Mar 19th, 2008 - about 18 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 1962673772 NPPES
Arizona MEDICAID 531881

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