MARYVALE FAMILY PRACTICE GROUP INC. – NPI #1831373091
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

MARYVALE FAMILY PRACTICE GROUP INC. is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1831373091 to MARYVALE FAMILY PRACTICE GROUP INC. on December 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 15 years ago on Apr 15, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARYVALE FAMILY PRACTICE GROUP INC. below.

NPI Profile for
MARYVALE FAMILY PRACTICE GROUP INC.

NPI Number
1831373091
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARYVALE FAMILY PRACTICE GROUP INC.
Primary location
4700 N 51ST AVE
SUITE 6
PHOENIX, AZ 85031-1237
Phone: (623) 209-5555 Fax: (623) 247-1905
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AVETIS ORDAKIAN
PRESIDENT
Phone: (623) 209-5555
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
AZ
208D00000X
- General Practice

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.