Arizona Healthy Clinic LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

ARIZONA HEALTHY CLINIC LLC

Practice address

4344 W Indian School Rd Ste 8
Phoenix, AZ 85031-2939

Phone

(623) 594-2432

Fax

(623) 594-2438

NPI assigned

Mar 4, 2020

Last updated

Mar 4, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diana Suarez, RMA

Title

Office Manager

Phone

(623) 594-2432

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1588299176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 W INDIAN SCHOOL RD STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312939",
            "telephone_number": "623-594-2432",
            "fax_number": "623-594-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 W INDIAN SCHOOL RD STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312939",
            "telephone_number": "623-594-2432",
            "fax_number": "623-594-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA HEALTHY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-594-2432",
        "authorized_official_credential": "RMA"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164867099",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "phoenix",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4344 W Indian School Rd Ste 8",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850312939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PHOENIX",
            "affiliation": "N",
            "address_1": "4344 W Indian School Rd Ste 8",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850312939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PHOENIX",
            "affiliation": "N",
            "address_1": "4344 W Indian School Rd Ste 8",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850312939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PHOENIX",
            "affiliation": "N",
            "address_1": "4344 W Indian School Rd Ste 8",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850312939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arizona Health Services PLLC
• Arizona Health Services PLLC
• Arizona Health Services PLLC
• Arizona Healthcare Outreach
• Arizona Healthy Clinic LLC
• Arizona Heart 360, P.C.
• Arizona Heart Center, LLC
• Arizona Heart Foundation Inc
• Arizona Heart Institute LTD
• Arizona Heart Institute LTD

• Addiction Medicine (Family Medicine) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction Medicine (Family Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.