SUNRIDGE MEDICAL WELLNES CENTER


Address: 14200 N Northsight Blvd, Suite 160, Scottsdale, AZ 85260-3947
Phone: 4806599135

SUNRIDGE MEDICAL WELLNES CENTER (NPI# 1750604989) 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) 1750604989
Entity Type Organization
Organization Name SUNRIDGE MEDICAL WELLNES CENTER
Practice Address 14200 N Northsight Blvd
Suite 160
Scottsdale
AZ 85260-3947
Practice Telephone 4806599135
Practice Fax Number 8006599035
Mailing Telephone 4806599135
Mailing Fax Number 8006599035
Enumeration Date 2010-03-02
Last Update Date 2010-03-02
Authorized Official Name DR. GIOACCHINO VINCENZO FRANCO (MEDICAL DIRECTOR)
Authorized Official Telephone 4806599155
Authorized Official Credential NMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 04-839 AZ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ STATE LICENSURE 04839 01

Office Location

Street Address 14200 N NORTHSIGHT BLVD
SUITE 160
City SCOTTSDALE
State AZ
Zip Code 85260-3947

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

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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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