| Heart Institute Of Northern Arizona Llc | |
|
1753 Airway Ave Suite B Kingman AZ 86409-3720 | |
| (928) 692-6200 | |
| (928) 692-9474 |
| Full Name | Heart Institute Of Northern Arizona Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1753 Airway Ave, Kingman, Arizona |
| Authorized Official Name and Position | Gary Guidry (CEO) |
| Authorized Official Contact | 7048157804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Institute Of Northern Arizona Llc 10720 Sikes Pl Suite 300 Charlotte NC 28277-8141 Ph: (704) 815-7789 | Heart Institute Of Northern Arizona Llc 1753 Airway Ave Suite B Kingman AZ 86409-3720 Ph: (928) 692-6200 |
| NPI Number | 1922089416 |
|---|---|
| Provider Enumeration Date | 11/10/2005 |
| Last Update Date | 10/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922089416 | NPI | - | NPPES |
| 930348 | Medicaid | AZ | |
| 470000205 | Other | AZ | RAILROAD MEDICARE |
| 197211 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | (* (Not Available)) | Secondary |
J. Khan, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1739 E Beverly Ave, Suite 221, Kingman, AZ 86409 Phone: 928-681-8671 Fax: 928-681-8672 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3505 Western Ave, Kingman, AZ 86409 Phone: 928-753-1177 Fax: 928-753-1178 | |
Vital Health & Wellness Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3555 Western Ave, Kingman, AZ 86409 Phone: 928-757-8440 Fax: 928-757-8448 | |
Slimming Grace Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 Johnson Ave Unit 3371, Kingman, AZ 86402 Phone: 928-279-5076 Fax: 949-695-3692 | |
Madix Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 N Stockton Hill Rd Ste 101, Kingman, AZ 86401 Phone: 928-377-1984 Fax: 928-377-1983 | |
S Ismail Bokhari, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 E Beverly Ave, Suite B, Kingman, AZ 86409 Phone: 928-757-1333 Fax: 928-757-2367 | |
Kamyab Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2002 N Stockton Hill Rd Ste 104, Kingman, AZ 86401 Phone: 928-692-1010 Fax: 928-692-7070 |