| Scottsdale Hyperbaric Center, Llc | |
|
9923 E Bell Rd Ste 120 Scottsdale AZ 85260-2399 | |
| (480) 590-5277 | |
| (480) 590-6145 |
| Full Name | Scottsdale Hyperbaric Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9923 E Bell Rd Ste 120, Scottsdale, Arizona |
| Authorized Official Name and Position | Lori Bryant (OWNER) |
| Authorized Official Contact | 4802133159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scottsdale Hyperbaric Center, Llc 9923 E Bell Rd Ste 120 Scottsdale AZ 85260-2399 Ph: () - | Scottsdale Hyperbaric Center, Llc 9923 E Bell Rd Ste 120 Scottsdale AZ 85260-2399 Ph: (480) 590-5277 |
| NPI Number | 1013772078 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 12/13/2024 |
| Medicare PECOS PAC ID | 0446692164 |
|---|---|
| Medicare Enrollment ID | O20240528001179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013772078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Klee Steven Bethel |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1215930862 PECOS PAC ID: 3779492426 Enrollment ID: I20040519000961 |
| Provider Name | Larry Lawayne Minor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700397650 PECOS PAC ID: 7012276314 Enrollment ID: I20180810002403 |
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