NPI Code Detail JSON Logo

1518990902 NPI number — YUMA HEART INSTITITUTE LLC

NPI Number: 1518990902
Health Care Provider/Practitioner: YUMA HEART INSTITITUTE LLC

Information about “1518990902” NPI (YUMA HEART INSTITITUTE LLC) exists in 1518990902 in HTML format HTML  |  1518990902 in plain Text format TXT  |  1518990902 in PDF (Portable Document Format) PDF  |  1518990902 in an XML format XML  formats.

NPI Number : 1518990902 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518990902",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "YUMA HEART INSTITITUTE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2503 S AVENUE A",
    "SecondLineMailingAddress": "SUITE #2",
    "MailingAddressCityName": "YUMA",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85364",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "928-344-3350",
    "MailingAddressFaxNumber": "928-344-2270",
    "FirstLinePracticeLocationAddress": "2503 S AVE A",
    "SecondLinePracticeLocationAddress": "SUITE #2",
    "PracticeLocationAddressCityName": "YUMA",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85364",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "928-344-3350",
    "PracticeLocationAddressFaxNumber": "928-344-2270",
    "EnumerationDate": "07/08/2006",
    "LastUpdateDate": "12/04/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CLARK",
    "AuthorizedOfficialFirstName": "CLARENCE",
    "AuthorizedOfficialMiddleName": "W",
    "AuthorizedOfficialTitle": "DELEGATED OFFICIAL",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "928-344-3350",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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