ARIZONA HEALTHY CLINIC LLC – NPI #1588299176
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

NPI Profile
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ARIZONA HEALTHY CLINIC LLC is a provider located in PHOENIX, AZ. NPPES has assigned the NPI number 1588299176 to ARIZONA HEALTHY CLINIC LLC on March 04, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

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 ARIZONA HEALTHY CLINIC LLC below.

NPI Profile for
ARIZONA HEALTHY CLINIC LLC

NPI Number

1588299176

Enumeration Date

Mar 04, 2020
(more than 6 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

ARIZONA HEALTHY CLINIC LLC

Primary location

4344 W INDIAN SCHOOL RD STE 8
PHOENIX, AZ 85031-2939

Phone: (623) 594-2432 Fax: (623) 594-2438

Mailing address

Same as primary location

Organization Subpart

Authorized Official

DIANA SUAREZ
OFFICE MANAGER
Phone: (623) 594-2432

Updated

Mar 04, 2020

Certification Date

Mar 04, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ARIZONA HEALTHY CLINIC LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

Description	Issuer	State	Identifier
MEDICAID		AZ	1164867099

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
207QA0401X - Family Medicine / Addiction 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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

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