<Unavail>
LBN: Springfield Medical Llc
<Unavail> is an health care organization with primary practice located at 36351 N Gantzel Rd Ste 127 , San Tan Valley AZ 85140-7329. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Springfield Medical Llc can be contacted via phone (602) 734-5509, or through Vaughan, Oladiji G via phone (602) 734-5509.
Contact Information
Primary practice address
36351 N Gantzel Rd Ste 127
San Tan Valley AZ 85140-7329
Phone: (602) 734-5509
Fax: (877) 281-3385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 40162 | Arizona |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 40162 | Arizona |
Profile Details
| NPI number | 1093019150 |
|---|---|
| LBN Legal business name | Springfield Medical Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Vaughan, Oladiji G Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2011 |
| Last updated | Jul 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093019150 | NPPES |
| Arizona | MEDICAID | 358032 | |
| Arizona | MEDICAID | 584197 |
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