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. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
The Amistad Clinic, Pllc can be contacted via phone (773) 230-9645, 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: (773) 230-9645
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 | Sep 21st, 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 | 1639650898 | NPPES |
| Arizona | MEDICAID | 205215 |
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