Providence Healthcare Service, Llc

NPI 1245593268 - Clinic/Center - 261Q00000X

NPI Details
NPI 1245593268
Enumeration Date 06/25/2012
Last Updated 11/05/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name OLAYINKA OLAYINKA
Position PROVIDER
Phone (615) 668-4485
Fax
Practice Location
6095 E 47TH ST
YUMA AZ, 85365-6351, US
Phone (615) 668-4485
Fax
Business Location
6095 E 47TH ST
YUMA AZ, 85365-6351, US
Phone (928) 726-6264
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Tennessee
License Number APN0000015886
Remove 1245593268 NPI Number
 

According to our database, Providence Healthcare Service, Llc NPI is 1245593268, taxonomy code is 261Q00000X and license number is APN0000015886, license state is located at Tennessee. Providence Healthcare Service, Llc physically located at 6095 E 47th St, Yuma AZ, 85365-6351. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1245593268 NPI number is provided on an as is basis without warranty of any kind. 1245593268 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Healthcare Service, Llc are for informational purposes only.