Akdhc - Umc Green Valley Clinic
Organization Active NPI Nephrology Physician · Green Valley, AZ
NPI 1508019795 · NPPES record last updated Nov 27, 2024
Key facts
- NPI
- 1508019795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- AKDHC - UMC GREEN VALLEY CLINIC
- Practice address
- 1141 S la Canada Drive
Akdhc - Umc Green Valley Clinic
Green Valley, AZ 85614-0000 - Phone
- (520) 694-3030
- NPI assigned
- Oct 31, 2008
- Organization subpart
- No
Authorized official
- Name
- Ms. Kristen Klein
- Title
- Director of Physician Services
- Phone
- (602) 997-0484
Other NPIs on the same Medicare enrollment 41
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040211000250 | AZ | Part B Supplier - Clinic/Group Practice | 8123912136 |
Receives reassigned benefits from 152 practitioners 41 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
1141 S la Canada Drive
Akdhc - Umc Green Valley Clinic
Green Valley, AZ 85614-0000
Mailing address
3333 E Camelback Rd Ste 180
Phoenix, AZ 85018-2396
Phone (602) 759-6883
Other providers in Green Valley, AZ
- 1918 Winter Street Operating Co LLC
- Access Wisdom Homecare
- Aegis Group Practice LLC
- Aegis Group Practice LLC
- Akdhc, LLC
- Akdhc, LLC
- Akdhc, LLC
- Khaled Ishaq Ali
- Alix Phillips, DMD, Inc.
All providers in Green Valley, AZ · Nephrology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.