DESERT MOUNTAIN FAMILY MEDICINE P.C.


Address: 8428 E Shea Blvd, Suite 100, Scottsdale, AZ 85260-6663
Phone: 4804519191

DESERT MOUNTAIN FAMILY MEDICINE P.C. (NPI# 1366794919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366794919
Entity Type Organization
Organization Name DESERT MOUNTAIN FAMILY MEDICINE P.C.
Practice Address 8428 E Shea Blvd
Suite 100
Scottsdale
AZ 85260-6663
Mailing Address 11866 E Mission Ln
Scottsdale
AZ 85259-5943
Practice Telephone 4804519191
Mailing Telephone 4806953429
Enumeration Date 2012-10-06
Last Update Date 2012-10-06
Authorized Official Name VICKI L LUGO (PRACTICE MANAGER)
Authorized Official Telephone 4804519191
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
21128 AZ Ambulatory Health Care Facilities

Office Location

Street Address 8428 E SHEA BLVD
SUITE 100
City SCOTTSDALE
State AZ
Zip Code 85260-6663

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City SCOTTSDALE
Zip Code 85260

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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