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Akdhc - Fountain Hills Family Practice

Organization Active NPI Nephrology Physician · Fountain Hills, AZ

NPI 1871745752 · NPPES record last updated Nov 27, 2024

Key facts

NPI
1871745752
Entity type
Organization (NPI type 2)
Primary specialty
Nephrology Physician 207RN0300X
Legal business name
AKDHC - FOUNTAIN HILLS FAMILY PRACTICE
Practice address
16838 E Palisades Blvd, BLDG C, Ste 153
Akdhc LLC
Fountain Hills, AZ 85268-0000
Phone
(480) 816-3131
Fax
(480) 816-3136
NPI assigned
Oct 22, 2008
Organization subpart
No

Authorized official

Name
Kristen Klein
Title
Director of Physician Services
Phone
(602) 997-0484

Other NPIs on the same Medicare enrollment 41

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 41

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

Tax ID family
Akdhc - Fountain Hills Family Practice (91 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RN0300X Yes

Addresses

Primary practice location

16838 E Palisades Blvd, BLDG C, Ste 153
Akdhc LLC
Fountain Hills, AZ 85268-0000

Mailing address

3333 E Camelback Rd Ste 180
Phoenix, AZ 85018-2396
Phone (602) 759-6883

Other providers in Fountain Hills, AZ

All providers in Fountain Hills, AZ · Nephrology Physician in Arizona

Sources for this page

Verify at the official NPI Registry.