Organization Name: | CAMELBACK WEST MEDICAL CLINIC |
NPI Number: | 1033128293 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUTH ETHEL SANDERS (NPMMLLC) |
Mailing Address: | 5630 W Camelback Rd Suite105 Glendale |
State: | AZ US |
Postal Code: | 853017443 |
Phone Number: | 6233373318 |
Fax Number: | 6238729704 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 261Q00000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
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). |