The Amistad Clinic, Pllc

LBN: The Amistad Clinic, Pllc
The Amistad Clinic, Pllc is an health care organization with primary practice located at 100 E 24Th St Ste 3A , Yuma AZ 85364-8619. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. The Amistad Clinic, Pllc can be contacted via phone (480) 773-8569, or through Amistad, William Bautista via phone (480) 773-8569.

Contact Information

Primary practice address
100 E 24Th St Ste 3A Yuma AZ 85364-8619
Phone: (480) 773-8569
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Amistad, William Bautista FNP-BC
Phone: (480) 773-8569

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AP9557 Arizona
Ambulatory Health Care Facilities / Primary Care 261QP2300X AP9557 Arizona

Profile Details

NPI number 1639650898
LBN Legal business name The Amistad Clinic, Pllc
DBA Doing business as
Authorized official Amistad, William Bautista FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2018
Last updated Feb 24th, 2025 - about last year

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 1639650898 NPPES
Arizona MEDICAID 205215

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