HEALTH360 LLC


Address: 11333 N Scottsdale Rd Ste 115, Scottsdale, AZ 85254-5186
Phone: 4807652800

HEALTH360 LLC (NPI# 1619485430) 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) 1619485430
Entity Type Organization
Organization Name HEALTH360 LLC
Practice Address 11333 N Scottsdale Rd Ste 115
Scottsdale
AZ 85254-5186
Practice Telephone 4807652800
Practice Fax Number 9512729924
Mailing Telephone 4807652800
Mailing Fax Number 9512729924
Enumeration Date 2018-01-15
Last Update Date 2018-03-17
Authorized Official Name LISETTE MARTINEZ (MANAGER)
Authorized Official Telephone 9286079537
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
18275 N 59th Ave Ste 142, Glendale, AZ 853081253 4807652800 9512729924

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1679106462 Health360 LLC Clinic/Center 9910 Nw 6th Ct, Pembroke Pines, FL 33024-6156 2020-02-19

Office Location

Street Address 11333 N SCOTTSDALE RD STE 115
City SCOTTSDALE
State AZ
Zip Code 85254-5186

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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Competitor

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City SCOTTSDALE
Zip Code 85254

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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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