NORTHWEST MEDICAL CENTER CT MRI AT MARANA LLC


Address: 8333 N Silverbell, Suite 121, Marana, AZ 85743
Phone: 5202027790

NORTHWEST MEDICAL CENTER CT MRI AT MARANA LLC (NPI# 1679682900) 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) 1679682900
Entity Type Organization
Organization Name NORTHWEST MEDICAL CENTER CT MRI AT MARANA LLC
Practice Address 8333 N Silverbell
Suite 121
Marana
AZ 85743
Practice Telephone 5202027790
Mailing Telephone 5202027790
Enumeration Date 2006-08-30
Last Update Date 2007-11-06
Authorized Official Name LAURIE HOLTSFORD (DIRECTOR, BUSINESS OFFICE SERVICES)
Authorized Official Telephone 6154657466
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261Q00000X Clinic/Center PENDING AZ Ambulatory Health Care Facilities
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
PENDING AZ Ambulatory Health Care Facilities
N 261QR0200X Clinic/Center
Specialization: Radiology
PENDING AZ Ambulatory Health Care Facilities
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
PENDING AZ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ PENDING 05

Office Location

Street Address 8333 N SILVERBELL
SUITE 121
City MARANA
State AZ
Zip Code 85743

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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

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Competitor

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City MARANA
Zip Code 85743

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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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