institution
Heart Institute Of Northern Arizona Llc
Ambulatory Surgical Clinic/Center in Kingman, Arizona
NPI 1013189893

Heart Institute Of Northern Arizona Llc is an Ambulatory Surgical Clinic/Center based in Kingman, AZ and is specialized in Ambulatory Surgical. Heart Institute Of Northern Arizona Llc practices in Kingman, AZ. The NPI Number for Heart Institute Of Northern Arizona Llc is 1013189893 and holds a License No. OTC710 (Arizona).

The current practice location address for Heart Institute Of Northern Arizona Llc is 1753 Airway Ave, Kingman, AZ and can be reached out via phone at 928-692-6200 and via fax at 928-692-9474. You can also correspond with Heart Institute Of Northern Arizona Llc through the mailing address at 1753 AIRWAY AVE, KINGMAN, AZ - 86409-3720 (mailing address contact number: 928-692-6200).

Location: 1753 Airway Ave, Kingman, AZ, 86409-3720
institution
Provider Profile Details
NPI Number
1013189893
Provider Name
Heart Institute Of Northern Arizona Llc
Credential
Provider Entity Type
Organization
Address
1753 Airway Ave, Kingman, AZ, 86409-3720
Phone Number
928-692-6200
Fax Number
928-692-9474
Provider Enumeration Date
04/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P0203870 01 AZ BLUE CROSS BLUE SHIELD OF
197211 05 AZ
470000205 01 AZ RR MEDICARE
930348 05 AZ
institution
Provider Business Practice Location Address Details
Address
1753 Airway Ave
City
State
Zip
86409-3720
Phone Number
928-692-6200
Fax Number
928-692-9474
person
Provider Business Mailing Address Details
Address
1753 Airway Ave
City
State
Zip
86409-3720
Phone Number
928-692-6200
Fax Number
928-692-9474
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
OTC710 (Arizona)
Definition
Definition to come...
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