FOOTHILLS BLVD CLINIC, LLC – NPI #1801922356
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

FOOTHILLS BLVD CLINIC, LLC is a provider located in YUMA, AZ. NPPES has assigned the NPI number 1801922356 to FOOTHILLS BLVD CLINIC, LLC on February 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FOOTHILLS BLVD CLINIC, LLC” is a dba name, the actual legal business name for this organization is FOOTHILLS BLVD CLINIC LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 14 years ago on Feb 03, 2012. 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 FOOTHILLS BLVD CLINIC, LLC below.

NPI Profile for
FOOTHILLS BLVD CLINIC LLC

NPI Number
1801922356
Enumeration Date

(more than 19 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
FOOTHILLS BLVD CLINIC LLC
Doing Business As (dba): FOOTHILLS BLVD CLINIC, LLC
Primary location
11611 S FOOTHILLS BLVD
SUITE C
YUMA, AZ 85367
Phone: (928) 342-1814 Fax: (928) 342-6154
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STAMATIA GOCKEL
OWNER/PHYSICIAN
Phone: (928) 342-1814
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
207Q00000X
- Family Medicine (Primary)

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.