1801200191 NPI number — MARSH FAMILY MEDICINE, PLLC.

Table of content: (NPI 1801200191)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801200191 NPI number — MARSH FAMILY MEDICINE, PLLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARSH FAMILY MEDICINE, PLLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801200191
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/31/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7740 N ORACLE RD
Provider Second Line Business Mailing Address:
BUILDING # 7
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85704-6313
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-797-5603
Provider Business Mailing Address Fax Number:
520-638-5574

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7440 N ORACLE RD
Provider Second Line Business Practice Location Address:
# 7
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85704-6385
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-797-5603
Provider Business Practice Location Address Fax Number:
520-638-5574
Provider Enumeration Date:
06/16/2014

Additional Information

Authorized Official

Authorized Official Last Name:
MARSH
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
LYNCH
Authorized Official Title or Position:
STATUTORY AGENT
Authorized Official Telephone Number:
520-797-5603

Provider Taxonomy Codes

  • Taxonomy code: 207QA0505X , with the licence number:  AZ2532 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1578664918 . This is a "INDIVIDUAL NPI: JULIE MORRISON, DO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1801200191 . This is a "MEDICAL GROUP NPI NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1922109354 . This is a "INDIVIDUAL NPI: PATRICK MARSH, DO" identifier . This identifiers is of the category "OTHER".
  • Identifier: AZ2505 . This is a "AZ STATE MEDICAL LICENSE: PATRICK MARSH, DO" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 1053412478 . This is a "INDIVIDUAL NPI: CHRISTOPHER MARSH, DO" identifier . This identifiers is of the category "OTHER".
  • Identifier: AZ3532 . This is a "AZ STATE MEDICAL LICENSE: CHRISTOPHER MARSH, DO" identifier . This identifiers is of the category "OTHER".
  • Identifier: AZ3506 . This is a "AZ STATE MEDICAL LICENSE: JULIE MORRISON, DO" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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