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NPI Code Detail

MEDICARE: FOUR DIRECTIONS LLC

MEDICARE: FOUR DIRECTIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyBH3964AZ

General Provider Information

NPI Number : 1912263997
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOUR DIRECTIONS LLC
Provider Business Mailing Address
First Line : PO BOX 10908
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85271-0908
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1450 W GUADALUPE RD STE 132
Second Line :
City : GILBERT
State : AZ
Zip : 85233-3056
Country : US
Telephone Number : 480-699-2344
Fax Number :
Authorized Official
Title or Position : OPERATIONS MANAGER
Name : MR. RUSSELL SMITH
Credential :
Telephone Number : 480-444-8563
Provider Enumeration Date : 04/04/2012
Last Update Date : 01/22/2026

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Directions to “FOUR DIRECTIONS LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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