Svassama

LBN: Svassama
Svassama is an health care organization with primary practice located at 3101 Clearwater Dr Suite D, Prescott AZ 86305-7180. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Svassama can be contacted via phone (928) 445-5639, or through Brummel, Eric D via phone (928) 445-5639.

Contact Information

Primary practice address
3101 Clearwater Dr Suite D Prescott AZ 86305-7180
Fax: (928) 442-0031
Website:
Authorized official contact:
Name: Brummel, Eric D Physical Therapist (PT)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 3833 Arizona

Profile Details

NPI number 1083877070
LBN Legal business name Svassama
DBA Doing business as
Authorized official Brummel, Eric D Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2008
Last updated Jul 9th, 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 1083877070 NPPES
Arizona MEDICAID 554239
Arizona Other AZ0463420

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